Interval percutaneous cholecystostomy is effective for decompression of the common bile duct in high-risk elderly patients prior to endoscopic retrograde cholangiopancreatography.

Interval percutaneous cholecystostomy is effective for decompression of the common bile duct in high-risk elderly patients prior to endoscopic retrograde cholangiopancreatography. Research Abstract Details 

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Interval percutaneous cholecystostomy is effective for decompression of the common bile duct in high-risk elderly patients prior to endoscopic retrograde cholangiopancreatography. Abstract Text:

BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) is the preferred procedure for common bile duct decompression. Nevertheless, this procedure may be hazardous for high-risk elderly patients. OBJECTIVE: To assess retrospectively whether interval percutaneous cholecystostomy (PC) should be considered in high-risk patients until their condition has improved and allows ERCP to be performed. SETTING: Referral community teaching hospital. PATIENTS: 8 elderly high-risk patients with acute cholangitis. INTERVENTION: All underwent PC as a bridging procedure till performing ERCP. RESULTS: Age ranged from 72 to 91 years (median 87). All 8 patients underwent PC. PC insertion improved their general condition and allowed us to perform an ERCP later on. Median time between PC and ERCP was 5 days. In 3 patients there was no need to perform an ERCP. All were discharged in a generally good condition and after normalization of bilirubin and liver enzymes. Median length of stay in hospital was 18 days. CONCLUSIONS: PC, as a bridging procedure to ERCP, can be an appropriate approach for selective high-risk elderly patients in whom ERCP is considered to be difficult and hazardous at the time of presentation.

Interval percutaneous cholecystostomy is effective for decompression of the common bile duct in high-risk elderly patients prior to endoscopic retrograde cholangiopancreatography. Publishing Authors By Initials

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Interval percutaneous cholecystostomy is effective for decompression of the common bile duct in high-risk elderly patients prior to endoscopic retrograde cholangiopancreatography. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Gerontology

VOLUME: 54

Page Numbers: 144-7

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ISSN: 1423-0003

DAY: 29

MONTH: 02

YEAR: 2008

Interval percutaneous cholecystostomy is effective for decompression of the common bile duct in high-risk elderly patients prior to endoscopic retrograde cholangiopancreatography. Information

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LANGUAGE: eng

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AFFILIATION: Department of Gastroenterology, Shaare-Zedek Medical Center, Jerusalem, Israel. davariel@zahav.net.il

Country: Switzerland

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MEDLINETA: Gerontology

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