PHÂN ĐỘ NHIỄM TRÙNG ĐƯỜNG MẬT DO SỎI THEO TOKYO 2018 Ở BỆNH NHÂN TRÊN 80 TUỔI VÀ KẾT QUẢ DẪN LƯU MẬT TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Background: The management of gallstone-related cholangitis in elderly patients remains a clinical challenge, with infection control being a key priority. This study aims to evaluate the safety and efficacy of percutaneous transhepatic biliary drainage (PTBD) in elderly patients with gallstone-associated cholangitis. Methods: Data were collected from 30 patients aged ≥80 years diagnosed with gallstone-related cholangitis at Hanoi Medical University Hospital between January 2023 and December 2024. Results: The mean patient age was 85.87 ± 4.73 years. The most common clinical symptoms were abdominal pain (96.7%), followed by fever (76.7%) and jaundice (36.7%). Among them, 20 patients underwent PTBD. According to the 2018 Tokyo Guidelines, Grade II cholangitis was the most frequent severity classification (21/30 patients). Post-drainage, direct and indirect bilirubin levels, as well as leukocyte counts, showed significant reductions. There was no statistically significant difference in hospital length of stay among different severity grades. Conclusion: PTBD is an effective treatment for gallstone-related cholangitis in elderly patients, contributing to biliary decompression and infection control.