[A single institution's experience of endoscopic retrograde cholangiopancreaticography in the eldery patients: outcomes, safety and complications]
| Autor: | Geon Tae Park, Chang Wook Chung, Sang Goon Shim, Sung Rok Kim, Dae Hyeon Cho, Ji Eun Oh, Gil Jong Yoo |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty health care facilities manpower and services Perforation (oil well) Population MEDLINE Hemorrhage Disease medicine Humans Single institution education Aged Aged 80 and over Cholangiopancreatography Endoscopic Retrograde education.field_of_study Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test business.industry General surgery Medical record social sciences General Medicine Middle Aged medicine.disease humanities Surgery Pancreatitis Female business |
| Zdroj: | The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi. 58(2) |
| ISSN: | 2233-6869 |
| Popis: | BACKGROUND/AIMS As the population ages, endoscopic retrograde cholangiopancreaticography (ERCP) is being used increasingly as a diagnostic and therapeutic tool for elderly patients with pancreatobiliary disease. The aim of this study was to assess the outcomes, safety and complications associated with ERCP performed in the elderly patients. METHODS We retrospectively reviewed the medical record of 596 patients who were 50 years of age or older and underwent ERCP from January 2005 to September 2010. The patients were classified into two groups according to the age: non-elderly, 50-74 years old and elderly, ≥75 years old. Comparisons were made between two groups. RESULTS Five hundred and ninety-six patients (132 elderly and 464 non-elderly patients) were enrolled. The success rate of ERCP was 89.4% in the elderly and 91.9% in the non-elderly. The major complications were occurred in 11 patients of the elderly and 16 of the non-elderly, and the complication rate was significantly higher in the elderly compared to the non-elderly (8.3% vs. 3.4%, p=0.011). Pancreatitis occurred in 2 elderly patients and 10 non-elderly patients (1.5% vs. 2.1%, p=1.0). There was a higher rate of bleeding in the elderly patients (4.5% vs. 1.3%, p=0.01). CONCLUSIONS ERCP is effective and safe even in elderly patients. Outcomes of diagnostic and therapeutic ERCP in the elderly patients were similar to those in non-elderly patients. Elderly patients undergoing ERCP carried similar risk of pancreatitis but a higher risk of bleeding and perforation compared to non-elderly patients. |
| Databáze: | OpenAIRE |
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