A retrospective study of endoscopic extraction of gallstones in common bile duct in 37 cases aged 90 years and over / 中华老年医学杂志

ABSTRACT

Objective To evaluate the effect and safety of stone extraction via endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (EST) in elderly cases over 90 years old with gallstones in common bile duct (CBD). Methods Retrospective clinical data analysis was performed in 37 elderly cases treated by endoscopic stone extraction via ERC and EST.Results The gallstones of 30 cases were successfully extracted with only one trying. The multiple stones of another 4 cases were not totally extracted, they underwent endoscopic naso-biliary drainage (ENBD) for 5 days, and then the stones were successfully extracted. The successful rate of stone extraction was 91.9% (34/37). Giant stones in 2 cases were minimized and extracted 6 months later with help of endoscopic retrograde biliary drainage (ERBD). In one case stone extraction failed,because of huge diverticulum. Bleeding complication during operation was observed in one case (2.7%). Duodenal perforation and acute pancreatitis were not documented in this group.Conclusions EST and ERBD are minor invasive, effective, safe and practical for stones extraction in elderly patients over 90 years old with gallstones in CBD.