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Long-term outcomes and risk factors of recurrent biliary obstruction after permanent endoscopic biliary stenting for choledocholithiasis in high-risk patients
- Source :
- Journal of Digestive Disease. 21(4):246-251
- Publication Year :
- 2020
- Publisher :
- John Wiley & Sons, 2020.
-
Abstract
- Objective To elucidate the long-term outcomes of permanent endoscopic biliary stenting (EBS) and risk factors for recurrent biliary obstruction (RBO) in high-risk or elderly patients with common bile duct (CBD) stones. Methods The electronic database of Hakodate Municipal Hospital was searched to identify elderly or high-risk patients with CBD stones who had undergone permanent EBS using a plastic stent without stone removal and were followed up between April 2011 and May 2019, with no further intervention until symptoms occurred. Results We analyzed a total of 47 patients, of whom 19 (40.4%) were men, with a median age of 86 years (interquartile range 80-90 years). RBO and death without biliary disease occurred in 14 (29.8%) and 19 (40.4%) patients, respectively. The cumulative RBO rates at 20, 40, and 60 months were 22.1%, 31.8%, and 35.5%, respectively. The median time to RBO was 13.0 and 38.0 months in the group with CBD stone >= 15 mm and 11-14 mm in diameter, respectively. The cumulative RBO incidence rate in the group with CBD stone
Details
- Language :
- English
- ISSN :
- 17512972
- Volume :
- 21
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Journal of Digestive Disease
- Accession number :
- edsair.jairo.........4bd09d82a7ada5c3bafd926b40e69f8d