Efficacy and Safety of Endoscopic Papillary Large Balloon Dilation for Large Bile Duct Stones in Elderly Patients

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• 作者：Ryosuke Tonozuka ; Takao Itoi ; Atsushi Sofuni…
• 关键词：Endoscopic papillary large balloon dilation ; Elderly patients ; Large balloon dilation ; Difficult common bile duct stones ; Large common bile duct stones ; Choledocholithiasis
• 刊名：Digestive Diseases and Sciences
• 出版年：2014
• 出版时间：September 2014
• 年：2014
• 卷：59
• 期：9
• 页码：2299-2307
• 全文大小：405 KB
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• 作者单位：Ryosuke Tonozuka (1)
  Takao Itoi (1)
  Atsushi Sofuni (1)
  Fumihide Itokawa (1)
  Toshio Kurihara (1)
  Takayoshi Tsuchiya (1)
  Kentaro Ishii (1)
  Shujiro Tsuji (1)
  Nobuhito Ikeuchi (1)
  Junko Umeda (1)
  Reina Tanaka (1)
  Mitsuyoshi Honjyo (1)
  Shuntaro Mukai (1)
  Mitsuru Fujita (1)
  Fuminori Moriyasu (1)
  
  1. Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan
  
• ISSN：1573-2568

文摘

Background Minimally invasive interventions for choledocholithiasis are preferable in elderly patients because they tend to have multiple underlying disorders or a decreased activity of daily living. Endoscopic sphincterotomy and endoscopic papillary balloon dilation have been recognized as first-line treatments for choledocholithiasis excluding difficult cases such as large stones or multiple stones. Recently, the safety and efficacy of endoscopic papillary large balloon dilation (EPLBD) for difficult choledocholithiasis cases have been reported, although scarcely in elderly patients. Aims To investigate whether EPLBD can be safety and effectively performed in patients aged 75?years or older. Methods The medical records of 165 patients who underwent EPLBD from November 2006 to August 2013 were analyzed retrospectively. The patients were divided into 2 groups: Group A (?5?years); Group B ( Results Some underlying diseases were significantly more common in Group A than in Group B (P?P?=?0.970) and in the final success rates (100?% in both groups) between Group A and Group B. The adverse event rates (2.9 vs 5.0?%, P?=?0.783) and recurrence rates of choledocholithiasis (6.7 vs 10.0?%, P?=?0.444) were not significantly different. Regarding patients with an altered anatomy, the EPLBD outcome was not significantly different. Conclusion EPLBD can be safely performed for elderly patients similarly to younger patients.