BACKGROUND: Endoscopic sphincterotomy (EST) and stone extraction are established therapeutic procedures for common bile duct (CBD) stones. Little is known about the outcomes of EST for CBD stones among elderly patients. OBJECTIVES: To examine the rate and the risk factors (CBD dilation and/or angulation, periampullary diverticulum, and past open cholecystectomy) for recurrent symptomatic CBD stones after EST in the elderly. DESIGN AND PATIENTS: A total of 228 patients who underwent EST for CBD stones in the period 1997 to 2004 were included. Follow-up data were obtained from medical records and by questioning all the patients. The correlation between age and stone recurrence, as well as between age and the prevalence of risk factors for recurrence was calculated. In addition, a subgroup of 45 elderly patients aged > or =80 years was compared with a control subgroup of 51 young patients aged < or =50 years, in terms of stone recurrence and associated risk factors. SETTING: Single-center, retrospective study. INTERVENTIONS: Endoscopic sphincterotomy. MAIN OUTCOME MEASUREMENTS: Symptomatic CBD stone recurrence rate and frequency of risk factors for it. RESULTS: In the group of all patients, a correlation was found between the age and stone recurrence, as well as between age and the known risk factors for recurrent stones. In analyzing the 2 subgroups, CBD stones recurred in 20% of the elderly patients compared with 4% of the young patients. Risk factors for recurrent CBD stones were more common in the elderly, and so was the presence of multiple risk factors in the same patient. CONCLUSIONS: Recurrence of symptomatic CBD stones after endoscopic therapy was more frequent in the elderly patients because of an increased frequency of risk factors.
BACKGROUND: Endoscopic sphincterotomy (EST) and stone extraction are established therapeutic procedures for common bile duct (CBD) stones. Little is known about the outcomes of EST for CBD stones among elderly patients. OBJECTIVES: To examine the rate and the risk factors (CBD dilation and/or angulation, periampullary diverticulum, and past open cholecystectomy) for recurrent symptomatic CBD stones after EST in the elderly. DESIGN AND PATIENTS: A total of 228 patients who underwent EST for CBD stones in the period 1997 to 2004 were included. Follow-up data were obtained from medical records and by questioning all the patients. The correlation between age and stone recurrence, as well as between age and the prevalence of risk factors for recurrence was calculated. In addition, a subgroup of 45 elderly patients aged > or =80 years was compared with a control subgroup of 51 young patients aged < or =50 years, in terms of stone recurrence and associated risk factors. SETTING: Single-center, retrospective study. INTERVENTIONS: Endoscopic sphincterotomy. MAIN OUTCOME MEASUREMENTS: Symptomatic CBD stone recurrence rate and frequency of risk factors for it. RESULTS: In the group of all patients, a correlation was found between the age and stone recurrence, as well as between age and the known risk factors for recurrent stones. In analyzing the 2 subgroups, CBD stones recurred in 20% of the elderly patients compared with 4% of the young patients. Risk factors for recurrent CBD stones were more common in the elderly, and so was the presence of multiple risk factors in the same patient. CONCLUSIONS: Recurrence of symptomatic CBD stones after endoscopic therapy was more frequent in the elderly patients because of an increased frequency of risk factors.
Authors: Jin Nam Kim; Hong Sik Lee; Sung Woo Jung; Ja Seol Koo; Hyung Joon Yim; Sang Woo Lee; Jae Hyun Choi; Chang Duck Kim; Ho Sang Ryu Journal: Gut Liver Date: 2011-03-16 Impact factor: 4.519
Authors: Byung Kyu Park; Jeong Hun Seo; Han Ho Jeon; Jong Won Choi; Sun Young Won; Yong Suk Cho; Chun Kyon Lee; Haeyong Park; Dong Wook Kim Journal: J Gastroenterol Date: 2017-11-30 Impact factor: 7.527
Authors: Ju Hyun Oak; Chang Nyol Paik; Woo Chul Chung; Kang-Moon Lee; Jin Mo Yang Journal: Gastroenterol Res Pract Date: 2012-09-06 Impact factor: 2.260
Authors: Ka Young Kim; Jimin Han; Ho Gak Kim; Byeong Suk Kim; Jin Tae Jung; Joong Goo Kwon; Eun Young Kim; Chang Hyeong Lee Journal: Clin Endosc Date: 2013-11-19