Therapeutic endoscopic retrograde cholangiopancreatography in patients aging over 85

VernacularTitle:治疗性ERCP在85岁以上高龄患者中的应用价值评价
Author: Mingdong LIU ; Yuling WU ; Yuling YAO ; Yunhong LI ; Wen LI ; Xiaoping ZOU
Publication Type:Journal Article
Keywords: Endoscopic retrograde cholangiopancreatography; Aged
From: Chinese Journal of Digestive Endoscopy 2010;27(6):298-300
CountryChina
Language:Chinese
Abstract: Objective To evaluate the safely and efficacy of therapeutic endoscopic retrograde cholangiopancreatography (ERCP) and its related procedures in patients older than 85 years.Methods Data of patients older than 85 who underwent ERCP between 2004 and 2009 (group A, n =52) were reviewed and compared with those of patients aging 70-84 years (group B, n = 329).Results The rate of patients with underlying disorders of other systems in group A was significantly greater than that of group B (100.0% vs.77.5% , P < 0.05) , as well as the rate of multiple procedures to achieve stone clearance (42.3% vs.28.8% , P <0.05).There were no significant differences between 2 groups regarding the rates of complication (7.7% vs.4.9% ) and post-procedure mortality (1.9% vs.0.6% ).Conclusion Therapeutic ERCP and related procedures are safe and effective in patients aging over 85, and advanced age should not be regarded as the contraindication of the procedure.