Economical and clinical outcomes of alternative treatment strategies in the management of common bile duct stones in the elderly: wait and see or surgery?
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Endoscopic management of difficult common bile duct stones.
Endoscopy is widely accepted as the first treatment option in the management of bile duct stones. In this review we focus on the alternative endoscopic modalities for the management of difficult common bile duct stones. Most biliary stones can be removed with an extraction balloon, extraction basket or mechanical lithotripsy after endoscopic sphincterotomy. Endoscopic papillary balloon dilation...
متن کاملRole of biliary stenting in the management of bile duct stones in the elderly.
Role of biliary stenting in the management of bile duct stones in the elderly Nearly a third of patients with common bile duct stones are at risk of developing recurrent cholangitis or pancreati-tis.' These complications carry a significant mortality in elderly, infirm patients so that prompt intervention to clear the duct of stones (or at least establish an uninterrupted flow of bile) is, part...
متن کاملBiliary stenting in the management of bile duct stones.
Role of biliary stenting in the management of bile duct stones in the elderly Nearly a third of patients with common bile duct stones are at risk of developing recurrent cholangitis or pancreati-tis.' These complications carry a significant mortality in elderly, infirm patients so that prompt intervention to clear the duct of stones (or at least establish an uninterrupted flow of bile) is, part...
متن کاملWait-and-see policy or laparoscopic cholecystectomy after endoscopic sphincterotomy for bile-duct stones: a randomised trial.
BACKGROUND Patients who undergo endoscopic sphincterotomy for common bile-duct stones, who have residual gallbladder stones, are referred for laparoscopic cholecystectomy. However, only 10% of patients who do not have this operation are reported to develop recurrent biliary symptoms. We aimed to assess whether a wait-and-see policy is justified. METHODS We did a prospective, randomised, multi...
متن کاملManagement of common bile duct stones with a biliary endoprosthesis. Report on 40 cases.
Endoscopic placement of a biliary endoprosthesis has been proposed for the management of choledocholithiasis when stone extraction is difficult or considered hazardous. Over a two year period this approach was used in 40 such patients. There were 24 women and 16 men with a median age of 76 years. In seven patients with severe cholangitis no attempt was made to extract the stones. Twenty three (...
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تاریخ انتشار 2017