Document Detail

Endoscopic biliary endoprosthesis in elderly patients with large bile duct stones: long-term follow-up.
MedLine Citation:
PMID:  1727849     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess the long-term evolution of elderly patients with large or impacted bile duct stones, treated by an endoscopic biliary endoprosthesis. DESIGN: Case series. SETTING: Tertiary care center. PATIENTS: Twenty-three patients with a mean (+/- SD) age of 86 +/- 5 years (range, 77-97 years). On admission, 96% were highly symptomatic. These patients represent 8.4% of a group of 273 elderly patients (greater than or equal to 70 years old) with choledocholithiasis treated by endoscopic sphincterotomy between November 1984 and May 1989. INTERVENTION: Endoscopic insertion of a biliary endoprosthesis. RESULTS: Eight-seven percent (20/23) remained completely free of biliary symptoms and died of unrelated illness (48%) after a mean follow-up of 23 months or are still alive (39%) with a mean follow-up of 52 months. In four cases, this asymptomatic evolution now extends for more than 5 years. CONCLUSION: Insertion of a biliary endoprosthesis offers an effective method for long-term treatment of non-extractable biliary stones in elderly patients.
W Van Steenbergen; W Pelemans; J Fevery
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  40     ISSN:  0002-8614     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1992-01-30     Completed Date:  1992-01-30     Revised Date:  2008-03-10    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  57-60     Citation Subset:  IM    
Department of Internal Medicine, UZ Gasthuisberg, K.U. Leuven, Belgium.
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MeSH Terms
Aged, 80 and over
Endoscopy, Gastrointestinal / methods*
Follow-Up Studies
Gallstones / complications,  physiopathology,  therapy*
Prostheses and Implants*

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