Caos A
Division of Gastroenterology, Internal Medicine Specialists Clinic, Ocoee, FL 32761.
J Lithotr Stone Dis. 1990 Jul;2(3):220-3.
Twelve elderly, ill patients with large common bile duct stones and cholelithiasis were treated with endoscopically placed biliary endoprostheses after endoscopic attempts at stone removal were unsuccessful. The patients were classified according to the American Society of Anesthesiologists' Physical Status Classification criteria and were Classes III and IV. The endoscopic procedures were tolerated well without complication. Resolution of biliary symptoms occurred in all patients. After extended follow-up of up to 60 months, no patient has required surgery for biliary symptoms or complications. One patient died following elective biliary surgery, six others have died from nonbiliary causes. The results suggest that management of large common bile duct stones by endoprosthesis placement can be done safely, and satisfactory long-term outcomes can be achieved.
12例患有较大胆总管结石和胆石症的老年患者，在内镜取石尝试失败后，接受了内镜下放置胆道内支架治疗。患者根据美国麻醉医师协会身体状况分类标准进行分类，属于Ⅲ级和Ⅳ级。内镜操作耐受性良好，无并发症发生。所有患者的胆道症状均得到缓解。经过长达60个月的长期随访，没有患者因胆道症状或并发症而需要手术治疗。1例患者在择期胆道手术后死亡，另外6例死于非胆道原因。结果表明，通过放置内支架治疗较大胆总管结石可以安全进行，并可取得满意的长期效果。
