Factors Affecting the Success of ERCP Stone Removal in Elderly Patients with Common Bile Duct Stones and Juxtapapillary Duodenal Diverticulum
Objective To explore the related factors that affect ERCP in elderly patients with common bile duct stones and juxtapapillary duodenal diverticulum(JPDD).Methods A retrospective analysis was made of the clinical data of 159 elderly patients with common bile duct stones and JPDD who received ERCP treatment in the hospital from January 2019 to June 2022.They were divided into successful group(131 cases)and unsuccessful group(28 cases)based on whether they were successfully removed at one time.The basic data,past history,intraoperative conditions(surgical time,stones,diverticulum conditions)and postoperative conditions(hospital stay and postoperative complications)of ERCP were compared between the two groups.The relevant factors affecting the success of ERCP stone removal in elderly patients with common bile duct stones and JPDD were analyzed.Results There were statistically differences between the successful and unsuccessful groups in the number of stones,the maximum stone diameter,whether it was the first ERCP,the time of surgery and the diameter of the diverticulum(P＜0.05).Multivariate analysis showed that multiple stones,single stone diameter ≥15 mm and non-first ERCP treatment were factors affecting the success of ERCP in elderly patients with common bile duct stones and JPDD(P＜0.05).Conclusion The success of ERCP in elderly patients with common bile duct stones and JPDD is affected by multiple stones,single stone diameter≥15 mm and non-first ERCP treatment.The safety and effectiveness of treatment can be improved by improving preoperative examinations,selecting experienced physicians and combining advanced clinical techniques and methods.
common bile duct stonesjuxtapapillary duodenal diverticulumold ageendoscopic retrograde cholangiopancre-atography
万方数据
维普
