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| Clinical Application Effect of Different Methods of ERCP in the Treatment of Elderly Patients with Common Bile Duct Stones |
| XIA Yan, HUANG Ming-zhe, FAN Xiao , et al |
| General Surgery, the Ninth People's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200011 |
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Abstract 【Objective】 To explore clinical application effect of different methods of ERCP in the treatment of elderly patients with common bile duct stones. 【Methods】The clinical data of 158 elderly patients (≥ 60 years old) with choledocholithiasis treated with ERCP from June 2013 to May 2016 were analyzed retrospectively. According to the treatment method of ERCP, the patients were divided into two groups: endoscopic sphincterotomy group (EST group,n=68) and LEST+EPBD group (n=90). The operation time, hospitalization time, success rate of lithotomy and the occurrence of short-and long-term complications were observed and recorded in the two groups.【Results】There was no significant difference between the two groups in hospitalization time, success rate, the number of stones, the diameter of stones and the incidence of postoperative complications (mean P>0.05), but the rate of mechanical lithotripsy and operative time in the EST group were significantly higher than those in the LEST+ EPBD group, The lonh-term recurrence rate of stone in the EST group was significantly higher than that in LEST+ EPBD group (P<0.05).【Conclusion】ERCP is a safe and effective method for the treatment of elderly patients with choledocholithiasis. Both EST and LEST+ EPBD can achieve satisfactory results. But compared with EST, LEST+EPBD can preserve the normal anatomical structure and function of sphincter of duodenal papilla and effectively reduce the risk of postoperative complications and reduce the operation time, which is worthy of clinical application.
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Received: 05 December 2017
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2018, Vol. 35 
