Objective To investigate the clinical effect and safety of the first endoscopic retrograde cholan-giopancreatography(ERCP)treatment in elderly patients with choledocholithiasis.Methods Clinical data of patients with choledocholithiasis underwent endoscopic retrograde cholangiopancreatography(ERCP)+endo-scopic sphincterotomy(sEST)+Endoscopic papillary balloon dilation(EPBD)for the first time who admitted to the First Affiliated Hospital of Anhui University of Science & Technology from January 2019 to August 2023 were retrospectively analyzed.According to the age of the patients,the patients were divided into the eld-erly group and the non-elderly group,the age of the elderly group ≥70 years old,and the age of the non-elder-ly group＜70 years old.The clinical data of patients with choledocholithiasis were compared between the two groups,and the clinical effect and postoperative complications of ERCP+sEST+EPBD in the treatment of eld-erly patients with choledocholithiasis were analyzed.Results There were significant differences in age,pre-operative comorbidities,choledocholithiasis removal rate,and biliary stent in the elderly group compared with the non-elderly group(P＜0.05).There was no significant difference in postoperative complications between the two groups(P＞0.05),and there were statistically significant differences in preoperative oral platelet drugs and intubation times ≥2 times between the two groups(P＜0.05).Conclusion The first use of ER-CP+sEST+EPBD for elderly patients with choledocholithiasis is safe,but the removal rate of choledocholithi-asis is lower than that in non-elderly patients.For patients with oral platelet drugs and intubation times≥2 times before surgery,the occurrence of postoperative complications should be noticed.
关键词
胆总管结石病/胰胆管造影术,内窥镜逆行/括约肌切开术,内窥镜/老年人
Key words
choledocholithiasis/cholangiopancreatography,endoscopic retrograde/sphincterotomy,en-doscope/old people
维普
万方数据