Most Read Articles
Christina Lau, 03 Oct 2017

A new technology involving the use of monocyte-derived hepatocyte-like (MH) cells has demonstrated high sensitivity and specificity in the diagnosis of idiosyncratic drug-induced liver injury (DILI), data presented at the Asian Pacific Digestive Week (APDW) 2017 held in Hong Kong have shown.

Endoscopic treatment for common bile duct safe for elderly adults

07 Jan 2018
Those with a history of gallstone disease have a 23% increased risk for coronary heart disease.

Endoscopic treatment for common bile duct (CBD) is effective and safe in elderly adults aged 85 years and above, a recent study has found.

The study included 335 patients who received endoscopic treatments for CBD stones; 185 patients were aged <85 years (group A; mean age 71±12.8 years; 63.2 percent male), while 50 were 85 years old (group B; mean age 88±3.0 years; 40.0 percent male).

Both groups had statistically comparable overall rates of complications during the procedure (8.6 vs 14.0 percent). The rates of blood pressure reductions (1.6 vs 0 percent) and peripheral oxygen saturation reductions (2.7 vs 2.0 percent) during the procedure were also similar between groups.

Notably, overall complication rates after the procedure did not significantly differ between groups A and B (20.0 vs 18.0 percent). The incidence rates of pancreatitis (16.8 vs 12.0 percent), cholangitis (3.2 vs 2.0 percent), and bleeding (1.1 vs 4.0 percent) were also statistically similar between the two patient groups.

In terms of the clinical course after endoscopy, only the rates of cholecystectomy after the procedure differed significantly between the two groups, with patients in group A reporting statistically higher rates than those in group B (58.4 vs 24.0 percent; p<0.001).

Other clinical parameters, such as length of hospital stay (15.2 vs 17.6 days), mortality rate (1.1 vs 0 percent), recurrence of CBD stones during follow-up (13.0 vs 20.0 percent), and observational period duration (4.4 vs 3.4 years), remained statistically comparable between the groups.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Gastroenterology - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Christina Lau, 03 Oct 2017

A new technology involving the use of monocyte-derived hepatocyte-like (MH) cells has demonstrated high sensitivity and specificity in the diagnosis of idiosyncratic drug-induced liver injury (DILI), data presented at the Asian Pacific Digestive Week (APDW) 2017 held in Hong Kong have shown.