Clinical characteristic analysis of choledoch stone in the elderly

VernacularTitle:老年人胆总管结石的临床特点分析
Author: Peng CHEN ; Lihua HU ; Ying LIU ; Peiyi ZHANG
Publication Type:Journal Article
Keywords: Choledoch stone; Elderly; Antibiotics; Endoscopic sphincteropapillotomy
From:Clinical Medicine of China 2013;(3):288-290
CountryChina
Language:Chinese
Abstract: Objective To further understand choledoch stone in the elderly so as to guide the clinical work.Methods The clinical data of 223 elderly patients with choledoch stone were retrospectively analyzed.The clinical characteristic and treatments to the patients were summarized.Results The patients usually presented with nausea and vomiting (86.1％,192/223),fever (84.8％,189/223),jaundice (70.0％ 156/223),abdominal pain (65.0％,145/223) and combined septic shock (20.2％,45/223).Colibacillus (41.0％,66/161) and Klebsiella pneumoniae (27.3％,44/161) were the most predominat.Imipenem,meropenem,amikacin,piperacillin/tazobactam and moxifloxacin were sensitive antibiotics(＞ 80％).Endoscopic sphincteropapillotomy(EST) with injected sensitive antibiotics was effective treatment.Conclusion Treatment of endoscopic sphincteropapillotomy and injected sensitive antibiotics was effective for elderly patients with choledoch stone.