We have previously treated these conditions with Endoscopic Mechanical Lithotripsy (EML) in our hospital, but multiple procedures were often required. Recently,
the application of Endoscopic Papillary Large Balloon Dilation (EPLBD) together with endoscopic sphincterotomy has been reported for the treatment of these conditions. We compared EPLBD cases in patients over 80 years old with those in patients under 80 years old and examined the effectiveness and safety of EPLBD for aged people. Methods: We applied EPLBD in our hospital to cases with a major axis stone of over 15 mm or more than 3 HM781-36B concentration stones. We examined 13 EPLBD cases for patients over 80 years old (Group A) and 10 cases for patients under 80 years old in the period from selleck kinase inhibitor April 2012 to February 2013. The mean ages were 86 ± 5.0 y.o. (Group A) and 74 ± 4.8 y.o. (Group B).
The mean major axes of the biliary stone were 20.3 ± 6.7 mm (Group A) and 16.7 ± 3.6 mm (Group B). The mean numbers of biliary stones were 5.0 ± 3.2 (Group A) and 4.2 ± 2.0 mm (Group B). Results: The mean procedure times were 42 ± 17 check details minutes (Group A) and 57 ± 32 minutes (Group B). The rates of procedural accidents were 1/13 (Group A) and 2/10 (Group B). The rates of the complete clearance of biliary stones in one procedure were 10/13 (Group A) and 9/10 (Group B). Conclusion: EPLBD is a safe and effective method in the treatment of aged patients. Key Word(s): 1. EPLBD Presenting Author: TOSHIHIRO NIIKURA Additional Authors: TAKAYUKI KATO, SHIGERU KOYAMA, NOBORU MISAWA, YUTARO ISHIKAWA, MINEO KANEZAKI, RYOJI SUZUKI, TETSURO FUJII, FUMITAKE JONO, KEIKO
AKIMOTO, YUMIKO HOJO, NOBUTAKA FUJISAWA, KENSUKE KUBOTA, ATSUSHI NAKAJIMA Corresponding Author: TOSHIHIRO NIIKURA Affiliations: Tokyo Metropolitan Hiroo Hospital, Tokyo Metropolitan Hiroo Hospital, Tokyo Metropolitan Hiroo Hospital, Tokyo Metropolitan Hiroo Hospital, Tokyo Metropolitan Hiroo Hospital, Tokyo Metropolitan Hiroo Hospital, Tokyo Metropolitan Hiroo Hospital, Tokyo Metropolitan Hiroo Hospital, Tokyo Metropolitan Hiroo Hospital, Tokyo Metropolitan Hiroo Hospital, Tokyo Metropolitan Hiroo Hospital, Yokohama City University, Yokohama City University Objective: Therapeutic ERCP is now the first-line therapy for common bile duct (CBD) stones.