Safety and Efficacy of Endoscopic Retrograde Cholangiopancreatograpy in Very Elderly Patients.
10.4166/kjg.2011.57.4.237
- Author:
Jang Eon KIM
1
;
Byung Hyo CHA
;
Sang Hyub LEE
;
Young Soo PARK
;
Jin Wook KIM
;
Sook Hyang JEONG
;
Nayoung KIM
;
Dong Ho LEE
;
Jin Hyeok HWANG
Author Information
1. Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Bundang, Korea. woltoong@snu.ac.kr
- Publication Type:Original Article ; English Abstract ; Research Support, Non-U.S. Gov't
- Keywords:
ERCP;
Elderly;
Indication;
Complication
- MeSH:
Acute Disease;
Age Factors;
Aged;
Aged, 80 and over;
Cholangiopancreatography, Endoscopic Retrograde/adverse effects/*methods;
Cholangitis/diagnosis;
Common Bile Duct Diseases/diagnosis;
Diverticulum/diagnosis;
Female;
Humans;
Length of Stay;
Male;
Middle Aged;
Pancreatic Diseases/*diagnosis/therapy;
Retrospective Studies
- From:The Korean Journal of Gastroenterology
2011;57(4):237-242
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: Endoscopic retrograde cholangiopancreatograpy (ERCP) is often used for the diagnosis and treatment of pancreaticobiliary diseases in the elderly patients. However, few studies have assessed its efficacy and safety in the very elderly. The purpose of this study was to evaluate the clinical outcomes of ERCP in the very elderly patients. METHODS: Eight hundreds two patients who underwent ERCP at Seoul National University Bundang hospital were enrolled retrospectively. They were divided into three groups according to their ages (non-elderly group, elderly group and very-elderly group; <65, 65-79 and > or =80, respectively). The indications and clinical outcomes including the complications of ERCP were compared among groups. RESULTS: The most common indication of ERCP was acute cholangitis in all the three groups. Periampullary diverticulum was more frequently observed in elderly and very-elderly patients than in younger patients. Mean duration of hospitalization was not different among three groups. ERCP success rate in all enrolled patients was approximately 90%, and there was no difference in terms of technical success rate between groups (p=0.1). However, the number of ERCP sessions was significantly higher in the very-elderly patients compared to in the non-elderly and elderly (1.38 vs. 1.13 and 1.18 respectively; p<0.001). There was no difference in mortality and complication rate between groups. CONCLUSIONS: ERCP can be performed safely in very-elderly patients. Therefore, only age should not be regarded as one of the major determining factors whether to perform ERCP.
