Abstract
In 141 very old patients over 85 years of age who were admitted to our hospital because of common bile duct stones, 135 patients who underwent endoscopic procedure were treated more effectively than 6 patients who underwent conservative treatment by fasting and antibiotics. Comparing 75 patients who underwent complete lithotripsy with 55 patients who underwent endoscopic biliary stenting, patients who had more stones tended to undergo biliary stenting, and there were no differences in rates of complications, successful treatment and recurrence. However, two patients had cerebrovascular accidents after endoscopic procedure. Regarding very old patients, endoscopic treatment for common bile duct stones should be performed positively under sufficient informed consent and strict management during and after procedures because it is effective and safe.
