種々の合併症を生じ治療に難渋した超高齢者総胆管結石症の１例

• 西田 宏二

  高邦会高木病院内科

• 川添 聖治

  高邦会高木病院内科

• 東島 正泰

  高邦会高木病院内科

• 高木 維彦

  高邦会高木病院内科

• 明石 隆吉

  熊本地域医療センター内視鏡科

書誌事項

タイトル別名

• An Extremely Elderly Patient with Choledocholithiasis and Many Complications.

抄録

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.

収録刊行物

• 日本老年医学会雑誌

  日本老年医学会雑誌 36 (12), 893-898, 1999

  一般社団法人 日本老年医学会

キーワード

• 総胆管結石症
• 急性閉塞性化膿性胆管炎
• 内視鏡的乳頭括約筋切開術
• 内視鏡的機械的砕石術
• 体外式砕石器エンドトリプター

詳細情報

• CRID: 1390282679997728256
• NII論文ID: 10008486369
• NII書誌ID: AN00199010
• DOI: 10.3143/geriatrics.36.893
• ISSN: 03009173
• PubMed: 10689902
• Web Site: https://search.jamas.or.jp/link/ui/2000132752
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可