Safety and efficacy of therapeutic ERCP for patients of over 90 years of age
10.3760/cma.j.issn.1007-5232.2012.10.005
- VernacularTitle:90岁及以上高龄患者行治疗性经内镜逆行胰胆管造影术的安全性与有效性评价
- Author:
Junfeng HAO
;
Lianghao HU
;
Zhuan LIAO
;
Di ZHANG
;
Haocheng CUI
;
Xiaotian SUN
;
Bo YE
;
Lei XIN
;
Libing WANG
;
Feng LIU
;
Dong WANG
;
Shude LI
;
Xingang SHI
;
Luowei WANG
;
Kaixuan WANG
;
Renpei WU
;
Xianbao ZHAN
;
Yiqi DU
;
Duowu ZOU
;
Zhendong JIN
;
Zhaoshen LI
- Publication Type:Journal Article
- Keywords:
Aged,90 and over;
Cholangiopancreatography,endoscopic retrograde;
Safety;
Treatment outcome
- From:
Chinese Journal of Digestive Endoscopy
2012;29(10):558-562
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of therapeutic ERCP for patients above 90 years of age.Methods The data of 37 patients of above 90 years who underwent 42 ERCP procedures from January 2001 to December 2009 were studied retrospectively and compared with those of 152 matched patients ( 168 procedures) below 65 years old at a 1∶4 ratio for success rate and complications.Results The rate of complete success,partial success,and failure in observation group was 73.81％ (31/42),19.05％(8/42) and 2.38％ (1/42),respectively,which were similar (P ＞0.05) with those in control group,with complete success rate at 85.12％ ( 143/168),partial success rate at 12.50％ (21/168) and failure rate at 2.38％ (4/168).The rate of terminated operation in observation group (4.76％,2/42) was significantly higher than that of the control group (0.00％,0,P =0.039).The overall rate of complication in observation group was 7.14％ ( 3/42 ),slightly higher than that of the control group ( 6.55％,11/168,P ＞0.05 ).There was no significant difference between the two groups regarding the rates and severity of such complications as pancreatitis,hemorrhage and infection ( P ＞ 0.05 ).No perforation or death was observed.Conclusion Therapeutic ERCP for patients of 90 years or older is safe and effective.Adverse events related to chronic concomitant diseases need early detection and proper management.
