ArticleJournal of gastroenterology2012
Is cholecystectomy necessary after endoscopic treatment of bile duct stones in patients older than 80 years of age?
Article in Journal of gastroenterology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evidence-based clinical practice guidelines for cholelithiasis 2016.Journal of gastroenterology · 2017Guideline
- The challenge of cholecystectomy after successful choledocholithiasis extraction in elderly patients with comorbidities.BMC surgery · 2025Article
- The role of cholecystectomy following endoscopic sphincterotomy and bile duct stone removal.Annals of the Royal College of Surgeons of England · 2023Article
- Article
- Comparison of the efficacy and safety between palliative biliary stent placement and duct clearance among elderly patients with choledocholithiasis: a propensity score-matched analysis.BMC gastroenterology · 2021Article
- Management of complicated gallstones in the elderly: comparing surgical and non-surgical treatment options.Gastroenterology report · 2019Article
- A nationwide population-based study of common bile duct stone recurrence after endoscopic stone removal in Korea.Journal of gastroenterology · 2018Article
- Surgery Reduces Risk of Complications Even in High-Risk Veterans After Endoscopic Therapy for Biliary Stone Disease.Digestive diseases and sciences · 2018Article
- Gallbladder function predicts subsequent biliary complications in patients with common bile duct stones after endoscopic treatment?BMC gastroenterology · 2018Article
- Endoscopic versus laparoscopic treatment for choledocholithiasis: a prospective randomized controlled trial.Endoscopy international open · 2016Article
- Endoscopic-Laparoscopic Cholecystolithotomy in Treatment of Cholecystolithiasis Compared With Traditional Laparoscopic Cholecystectomy.Surgical laparoscopy, endoscopy & percutaneous techniques · 2016Article
- Long-term follow-up study of gallbladder in situ after endoscopic common duct stone removal in Korean patients.Surgical endoscopy · 2013Article
- Difficult biliary stones in the elderly: Endoscopic retrograde cholangiography - A single surgical tertiary centre experience with follow-up.Journal of minimal access surgeryArticle
- Post-endoscopic retrograde cholangiography laparoscopic cholecystectomy: challenging but safe.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsAlthough patients with cholecystocholedocholithiasis are generally referred to cholecystectomy after endoscopic sphincterotomy (ES) and common bile duct clearance, we often have a conflict whether cholecystectomy is necessary in very elderly patients with comorbid diseases. The aim of this study is to assess whether cholecystectomy in very elderly patients is justified after ES. PATIENTS AND
methodsPatients with cholecystocholedocholithiasis who underwent ES and stone extraction and were followed-up for more than 10 years were retrospectively reviewed. We divided these patients into two groups: the elderly group (equal to or more than 80 years old) and young group (less than 80 years old) and compared late biliary complications and mortality.
resultsThe 10-year cumulative incidence of overall biliary complications was significantly lower in cholecystectomized patients than in patients with gallbladder in situ in the young group (7.5 vs. 21.7%, p = 0.0037), but not different in the elderly group (8.3 vs. 7.4%, p = 0.92). When each complication was evaluated separately, the rate of recurrent common bile duct stones (CBDS) was not different, but that of acute cholecystitis was significantly lower in the elderly group than in the young group (4.1 vs. 22.6%, p = 0.011).
conclusionsIn very elderly patients the incidence of acute cholecystitis is low even when the gallbladder is preserved after endoscopic treatment of CBDS, with a similar risk of CBDS recurrence. Thus, it may not be necessary to recommend cholecystectomy after ES for CBDS in very elderly patients.
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