Does Endoscopic Retrograde Cholangiopancreatography Carry Higher Risk for Patients 90 Years and Older? A Single-Institution Retrospective Study
| Autor: | Hiroki Okawa, Akihito Nagahara, Makoto Furihata, Taro Osada, Shingo Ogiwara, Yusuke Nomoto, Tsuneo Kitamura, Yoshihiro Inami |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Frail Elderly Comorbidity 030204 cardiovascular system & hematology Group B 03 medical and health sciences 0302 clinical medicine Risk Factors Gastrointestinal perforation Internal medicine medicine Humans Mortality Adverse effect Retrospective Studies Aged 80 and over Cholangiopancreatography Endoscopic Retrograde Endoscopic retrograde cholangiopancreatography Performance status medicine.diagnostic_test business.industry Incidence Mortality rate Retrospective cohort study General Medicine medicine.disease Treatment Outcome Intestinal Perforation Geriatrics 030220 oncology & carcinogenesis Database Analysis Female business |
| Zdroj: | Medical Science Monitor : International Medical Journal of Experimental and Clinical Research |
| ISSN: | 1643-3750 |
| DOI: | 10.12659/msm.928033 |
| Popis: | BACKGROUND Endoscopic retrograde cholangiography (ERCP) for patients aged ≥90 years is often required. The safety of ERCP for super-elderly patients is a major concern for gastrointestinal endoscopists. We retrospectively examined the safety of ERCP for super-elderly patients by comparison with patients in their 70s. MATERIAL AND METHODS We reviewed 66 patients aged ≥90 years (Group A) and 43 patients in their 70s (Group B) who underwent ERCP in our institution from January 2012 to October 2019. Data were collected on patients' backgrounds, corresponding procedures, and clinical outcomes, including adverse events. RESULTS Patients in Group A (mean age: 92.3±2.1 years) had significantly poorer performance status (median: 3 vs. 0; P |
| Databáze: | OpenAIRE |
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