Clinical analysis of 57 old patients with bile duct calculus treated by small endoscopic sphincterotomy and biliary balloon dilatation

doi:10.3877/cma.j.issn.2095-2015.2019.04.002

Abstract

Abstract:

Objective

To study the curative effect and safety of small endoscopic sphincterotomy (SEST) combined with biliary balloon dilatation by endoscopy on bile duct calculus in old patients.

Methods

Old patients with bile duct calculus were administered with endoscopic retrograde cholangiopancreatography (ERCP) in Gastroenterology Department of Third Affiliated Hospital of Shihezi University from 2014 to 2016, and the clinical data of whom were retrospectively analyzed.

Results

ERCP was performed in 57 old patients with bile duct calculus, and 55 cases (96%) were successfully treated by cholangiography.Among them, 46 cases were treated by SEST and biliary balloon dilatation.The one-time stone removal rate was 83.6%.The changes of liver function, blood amylase, urine amylase before and after operation were observed (P<0.05).

Conclusion

SEST combined with biliary balloon dilatation by endoscopy is a safe and effective treatment method for bile duct calculus in old patients.

Key words: Endoscopic retrograde cholangiopancreatography, Small endoscopic sphincterotomy, Bile duct calculus, Old people

Jiang Tian, Liang Ge, Jing Zhou, Bing Lin, Peiyuan Li. Clinical analysis of 57 old patients with bile duct calculus treated by small endoscopic sphincterotomy and biliary balloon dilatation[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2019, 09(04): 148-151.

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References 18

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组别	ALT	AST	DBIL
治疗前	80.55±22.98	106.52±28.88	94.85±26.66
治疗后	40.25±16.76	39.39±13.44	62.23±30.28
t值	6.264	12.675	9.867
P值	<0.001	<0.001	<0.001

组别	ALT	AST	DBIL
治疗前	80.55±22.98	106.52±28.88	94.85±26.66
治疗后	40.25±16.76	39.39±13.44	62.23±30.28
t值	6.264	12.675	9.867
P值	<0.001	<0.001	<0.001

组别	血清淀粉酶(U/L)	尿淀粉酶(U/L)
治疗前	620.55±522.98	336.52±328.58
治疗后3 h	340.25±480.76^*	239.39±212.46^*
治疗后8 h	231.25±216.32^*	211.26±198.54^*
治疗后72 h	142.25±160.75^*	139.39±96.58^*
F值	413.750	20.876
P值	<0.001	<0.001

组别	血清淀粉酶(U/L)	尿淀粉酶(U/L)
治疗前	620.55±522.98	336.52±328.58
治疗后3 h	340.25±480.76^*	239.39±212.46^*
治疗后8 h	231.25±216.32^*	211.26±198.54^*
治疗后72 h	142.25±160.75^*	139.39±96.58^*
F值	413.750	20.876
P值	<0.001	<0.001

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