| Autor: |
Hirokazu, Saito, Yoshihiro, Kadono, Takashi, Shono, Kentaro, Kamikawa, Atsushi, Urata, Jiro, Nasu, Haruo, Imamura, Ikuo, Matsushita, Tatsuyuki, Kakuma, Shuji, Tada |
| Rok vydání: |
2022 |
| Zdroj: |
World Journal of Gastrointestinal Endoscopy. 14:215-225 |
| ISSN: |
1948-5190 |
| DOI: |
10.4253/wjge.v14.i4.215 |
| Popis: |
As the aging population grows worldwide, the rates of endoscopic retrograde cholangiopancreatography (ERCP) for common bile duct stones (CBDS) in older patients with a poor performance status (PS) have been increasing. However, the data on the safety and efficacy of ERCP for CBDS in patients with a PS score of 3 or 4 are lacking, with only a few studies having investigated this issue among patients with poor PS.To examine the safety and efficacy of ERCP for CBDS in patients with a PS score of 3 or 4.This study utilized a retrospective multi-centered design of three institutions in Japan for 8 years to identify a total of 1343 patients with CBDS having native papillae who underwent therapeutic ERCP. As a result, 1113 patients with a PS 0-2 and 230 patients with a PS 3-4 were included. One-to-one propensity-score matching was performed to compare the safety and efficacy of ERCP for CBDS between patients with a PS 0-2 and those with a PS 3-4.The overall ERCP-related complication rates in all patients and propensity score-matched patients with a PS 0-2 and 3-4 were 9.0% (100/1113) and 7.0% (16/230;ERCP for CBDS can be effectively performed in patients with a PS 3 or 4. Nevertheless, the indication for ERCP in such patients should be carefully considered with prophylactic antibiotics. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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