An Extremely Elderly Patient with Choledocholithiasis and Many Complications
| Autor: | Seiji Kawazoe, Kouji Nishida, Ryukichi Akashi, Korehiko Takagi, Masayoshi Higashijima |
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| Rok vydání: | 1999 |
| Předmět: |
Aged
80 and over medicine.medical_specialty business.industry Impaction medicine.medical_treatment Suppurative cholangitis Gallstones Lithotripsy Gallbladder perforation Aged patients Surgery Extracorporeal shockwave lithotripsy medicine Humans Female Percutaneous transhepatic biliary drainage Geriatrics and Gerontology business Elderly patient Aged |
| Zdroj: | Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics. 36:893-898 |
| ISSN: | 0300-9173 |
| DOI: | 10.3143/geriatrics.36.893 |
| Popis: | It was very difficult to treat a 90-year-old woman for choledocholithiasis with acute obstructive suppurative cholangitis, gallbladder perforation, and a pool of bile in the right perirenal spase. Extracorporeal shockwave lithotripsy (ESWL) was performed after emergency percutaneous transhepatic biliary drainage (PTBD), but we could not perform lithotripsy successfully because of large and hard stones. Although Endoscopic sphincterotomy (EST) was performed using an ultratome by rendezvous method. Lithotripsy was finally successful, after three times endoscopic mechanical lithotripsy (EML) and procedure using an endotriptor for basket impaction. It is very important in advanced aged patients that endoscopic treatment should be performed step by step. |
| Databáze: | OpenAIRE |
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