tailieunhanh - Study on the composition, morphology and clinical features of common bile duct stones in elderly patients treated with endoscopic retrograde cholangiopancreatography

Objectives: To study the composition, morphology and clinical features of common bile duct (CBD) stones in elderly patients by endocopic retrograde cholangiopancreatography (ERCP). Subjects and methods: A cross-sectional study was conducted on 198 patients (106 patients over 60 years old) with CBD stones. | Journal of military pharmaco-medicine no7-2017 STUDY ON THE COMPOSITION, MORPHOLOGY AND CLINICAL FEATURES OF COMMON BILE DUCT STONES IN ELDERLY PATIENTS TREATED WITH ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY Duong Xuan Nhuong*; Dao Truong Giang* Nguyen Quang Duat*; Dang Viet Dung*; Mai Hong Bang** SUMMARY Objectives: To study the composition, morphology and clinical features of common bile duct (CBD) stones in elderly patients by endocopic retrograde cholangiopancreatography (ERCP). Subjects and methods: A cross-sectional study was conducted on 198 patients (106 patients over 60 years old) with CBD stones. Results and conclusion: Patients over 60 years old had the lower rate of cholangitis than patients under 60 years old. We assessed the chemical composition and morphologic characteristics of CBD stones in 60 patients: bilirubinate calcium in 100% of stones. The chemical composition in CBD stones was the same between two groups (p > ); pigment stones in 100% of elderly patients, of patients under 60 years old. There was no difference between two groups (p > ). There were relationships between morphologic characteristics and recurrent rate of CBD stones, between pigment stones with time of ERCP and cholangitis. * Keywords: Common bile duct stone; Endoscopic retrograde cholangiopancreatography; Elderly patients. INTRODUCTION Bile duct disease, especially CBD stones are very common in gastroenterology, and often cause severe complications. Studying the composition, morphology and clinical features of CBD stones in elderly patients not only helps to define the pathogenesis of CBD stones but also helps to chose the methods of treatment and prevent the recurrent of the diseases [1, 2, 6]. In Vietnam, there are many studies about composition and morphology of the CBD stones taken by surgeons but we are still lack of study about this issue in elderly patients who were treated by ERCP. Therefore, the objective of this study is: To study the .