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- W2130293825 abstract "The value of endoprostheses for long-term management of bile duct stones has not been formally established. We retrospectively compared the results of this method versus surgical approach in elderly patients (>70 years) with endoscopically irretrievable bile duct stones.From January 1990 to September 1998, 68 patients over 70 years old underwent endoscopic biliary stenting (group A: 31 patients) or surgery (group B: 37 patients) for endoscopically irretrievable bile duct stones. The groups were similar with regard to gender, age, clinical presentation, ASA score, and number and size of the stones.Successful biliary drainage was achieved in 31 of 31 patients of group A and 37 of 37 patients of group B. Early complications occurred in 12.9% of group A versus 29.7% of group B (P <0.005) and early mortality was 0% in group A versus 2.7% of group B (P = NS). Over the long-term follow-up, late complications occurred in 35.5% of group A versus 8.1 % of group B (P <0.001). Three cases of biliary-related death occurred in group A versus 0 in group B (9.6% versus 0%: P <0.005).For immediate bile duct drainage endoprostheses proved a safe and effective alternative to surgery in elderly patients with endoscopically irretrievable bile duct stones. Because of the risk of subsequent complications, their use as a definitive treatment should be restricted to highly selected cases." @default.
- W2130293825 created "2016-06-24" @default.
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- W2130293825 date "1999-11-01" @default.
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- W2130293825 title "Stenting or surgery for treatment of irretrievable common bile duct calculi in elderly patients?" @default.
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- W2130293825 doi "https://doi.org/10.1016/s0002-9610(99)00211-1" @default.
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