Is Endoscopic Sphincterotomy an Adequate Treatment for Symptomatic Gall Stone in Bile Duct in Elderly Patients with an Asymptomatic Gall Bladder?
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 5
Abstract
The management of symptomatic gall bladder is well defined. However, treatment of symptomatic gallstone disease with an asymptomatic gall bladder is still controversial. This study looks at the need for routine cholecystectomy in elderly patients (>70 years old) within this clinical group. The study was a retrospective review of all Endoscopic cholangiopancreatography (ERC) and endoscopic sphincterotomy (ES) procedures from endoscopy data base. Of 928 ERC examinations 16 patients were identified for further study (Patients > 70 years old, asymptomatic gall bladders and where a conservative management had been undertaken). Average age was 74.5 years old and they all represented a significant operative risk. ERC and ES were successful in treating all patients and after a mean follow up of 17 month (Range 5 – 56 months) only 3 patients went on to require cholecystectomy at a later date due to symptomatic gall bladder. This study suggests that ERC and ES is sufficient treatment in elderly patients with symptomatic gallstone in the bile duct with an asymptomatic gall bladders, and questions the need for routine cholecystectomy. Keywords: CBD stones, ERCP, Cholangitis,Pancreatitis, High risk patients
Authors and Affiliations
Amir Hussain
Keywords
Related Articles
- EP ID EP375196
- DOI -
- Views 36
- Downloads 0
Broad Ligament Leiomyoma Mimicking As Ovarian Tumor
We report two cases of broad ligament leiomyoma. Extrauterine leiomyoma remains an uncommon site to occur. Usually these tumors remains asymptomatic. When the lesion became large they present with various clinical man...
Homocysteine and Atherogenic lipid profile as Markers of Atherotherombatic Disease among Sudanese Patients with Diabetes Mellitus
Abstract:Atherosclerosis is associated with increased inflammatory activity and risk of vascular disease.However, the factors that promote inflammation are not apparently clear. The aim of the present study was to detect...
A Cross-Sectional Study of Prevalence of Genital Herpes Infections in Middle Aged Women
The incidence of the HSV-2 infections is increasing nowadays. In addition to cause of morbidity, it is also a risk factor for human immunodeficiency virus (HIV) acquisition and transmission. Previous studies showed incre...
A Retrospective Study, on Efficacy of Oral Corticosteroid Therapy in 'Trigger Finger' Patients
Abstract: Trigger finger is a disease of the tendons of the hand leading to triggering (locking) of affected fingers, dysfunction, and pain; and one of the most common reasons of referral to an orthopaedic. The objective...
Comparative Study of Sympathetic Cardiovascular Tests in Obese and Non – Obese Adults
Abstract: The blood pressure responses to cold pressor and sustained handgrip were studied in cases and controls. The cardiovascular sympathetic functional status can be assessed by using these simple tests; effective fo...