Precut techniques incarcerated gallstones in patients with nipple elderly efficacy and safety of.doc

 PAGE \* MERGEFORMAT 15 Precut techniques incarcerated gallstones in patients with nipple elderly efficacy and safety of [Abstract] Objective Precut technology to senior citizens incarcerated nipple treatment of patients with gallstones and safety research. Methods Retrospective analysis from January 2007 to December 2009 after 38 cases of elderly patients diagnosed with papillary incarcerated ERCP patients with common bile duct stones on endoscopic retrograde cholangiopancreatography (ERCP) treatment of difficult intubation aided by the use of Precut intubation and stone, the line sphincterotomy, the stones often emerge on their own. The results of 38 cases for senior citizens ERCP in patients with difficult intubation, stone line Precut technical success rate was 100%, no deaths, including 8 cases of open bow knife, needle knife to open in 10 cases, twice in the United incision in 20 cases. Conclusion therapeutic ERCP is embedded nipple Dayton gallstones in patients with a safe and effective treatment, especially for elderly patients can not tolerate surgery, these patients often accompanied by difficulty in intubation and stone, Precut stone technology is no doubt the key to success. [Keywords:] Precut technology; incarcerated choledocholithiasis; elderly patients [Abstract] Objective To evaluate the efficacy and safety of the Precut technique in elderly patients of incarcerated biliary calculi in papilla.Methods Retrospectived the study of the 38 elderly patients who finally diagnosed as incarcerated biliany calculi by the endoscopic retrograde cholangio pancreatography (ERCP) from January 2007 to December 2009.All patients with difficult CBD cannulation underwent Precutting technique.In most of patients the incarcerated biliary calculi in papilla could usually fell away automatically after EST.Results The 38 Elderly patients with difficult CBD cannulation underwent Precutting technique.The success rate of endoscopic stone extraction was 100%,