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Endoscopic Biliary Endoprosthesis in Elderly Patients with Large Bile Duct Stones: Long‐Term Follow‐Up
Author(s) -
Van Steenbergen Werner,
Pelemans Walter,
Fevery Johan
Publication year - 1992
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1992.tb01830.x
Subject(s) - medicine , asymptomatic , surgery , bile duct , biliary stent , common bile duct , stent
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 (≧70 years old) with choledocholithiasis treated by endoscopic sphincterotomy between November 1984 and May 1989. Intervention Endoscopic insertion of a biliary endoprosthesis. Results Eighty‐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.