Li WZ, Qin MF, Gou CY, Zhang L. Application of endoscopic plastic biliary stents in elderly patients with unextractable common bile duct stones.
Shijie Huaren Xiaohua Zazhi 2012;
20:164-166. [DOI:
10.11569/wcjd.v20.i2.164]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM: To evaluate the safety and effectiveness of placement of plastic stents in the common bile duct in the treatment of elderly patients with unextractable common bile duct stones.
METHODS: The clinical data for 103 elderly patients with unextractable common bile duct stones who underwent endoscopic retrograde cholangiopancreatography (ERCP) and placement of plastic stents in the bile duct were analyzed retrospectively.
RESULTS: After placement of plastic stents in the bile duct, 60 patients (58.2%) had small stone fragments that were easily extracted with a balloon and basket; 13 patients (12.6%) continued to have large stones and had to received repeat ERCP and long-term stenting; 11 patients (10.6%) eventually underwent surgery; and 16 patients (15.5%) did not undergo repeat ERCP and were therefore treated by long-term stent placement.
CONCLUSION: Plastic biliary stent placement is a reasonable alternative treatment in patients with unextractable common bile duct stones, especially in elderly patients.
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