Cholecystectomy after Sphincterotomy for Preventing Recurrence in Elderly Patients with Acute Cholangitis.
In: International Journal of Gerontology, Jg. 11 (2017-09-01), Heft 3, S. 182-185
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Zugriff:
Summary Background laparoscopic cholecystectomy (LC) following endoscopic sphincterotomy (ES) in elderly patients with concomitant gallbladder stones remains a matter of debate. Methods We retrospectively collected data from 84 patients aged >65 years who had common bile duct stones (CBDS) with cholangitis and had undergone successful ES between July 2007 and October 2010. We divided the patients into 2 groups: the cholecystectomy and wait-and-see groups. We also compared two age groups, namely, the young-old (65–74 years) and old (>75 years) groups. The endpoint was the presence of symptoms indicating recurrence of biliary events. Results The recurrence rate was lower in patients who underwent subsequent cholecystectomy than in patients in the wait-and-see group. However, among the patients in the old group, the time to recurrence did not significantly differ between the cholecystectomy and wait-and-see groups. Univariate analysis showed that the presence of a juxtapapillary diverticulum (JPD) was an independent factor predicting recurrence. Conclusion Cholecystectomy after ES is recommended for patients with CBDS aged <75 years. JPD increases the recurrence risk in patients who do not undergo subsequent cholecystectomy. [ABSTRACT FROM AUTHOR]
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Titel: |
Cholecystectomy after Sphincterotomy for Preventing Recurrence in Elderly Patients with Acute Cholangitis.
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Autor/in / Beteiligte Person: | Lai, Jian-Han ; Chen, Chih-Jen ; Chu, Cheng-Hsin ; Lin, Ching-Chung ; Sun, Fang-Ju |
Link: | |
Zeitschrift: | International Journal of Gerontology, Jg. 11 (2017-09-01), Heft 3, S. 182-185 |
Veröffentlichung: | 2017 |
Medientyp: | academicJournal |
ISSN: | 1873-9598 (print) |
DOI: | 10.1016/j.ijge.2016.11.006 |
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