Application of endoscopic retrograde cholangiopancreatography in elderly patients
10.3760/cma.j.issn.0254-9026.2025.06.011
- VernacularTitle:内镜逆行胰胆管造影术在老年患者中的应用
- Author:
Yongkang TAO
1
;
Shiyu DU
1
;
Long FANG
1
Author Information
1. 中日友好医院消化科，北京 100029
- Publication Type:Journal Article
- Keywords:
Endoscopic retrograde cholangiopancreatography;
Biliary stricture;
Pancreatitis;
Elderly patient
- From:
Chinese Journal of Geriatrics
2025;44(6):740-744
- CountryChina
- Language:Chinese
-
Abstract:
This article reviews the use of endoscopic retrograde cholangiopancreatography(ERCP)in elderly patients.ERCP is widely used in elderly patients with pancreaticobiliary diseases, with a high success rate.It is mainly used for the diagnosis and treatment of biliary calculi, benign and malignant biliary strictures, acute pancreatitis, chronic pancreatitis, and pancreatic tumors and other disease.ERCP plays an important role in accurate diagnosis and treatment, such as the removal of biliary calculi and the placement of stents for biliary obstruction.The perioperative management of ERCP in elderly patients includes preoperative assessment(medical history, nutrition, comorbidities, medication, psychology, etc.), intraoperative considerations(cannulation, stone removal, stent placement, etc.)and postoperative diet and nutrition management.Common complications include anesthesia-related risks and cardiopulmonary complications, postoperative pancreatitis, bleeding, perforation, and infection, which require corresponding measures need to be taken for prevention and treatment.ERCP plays an important role in the diagnosis and treatment of elderly patients, but faces many challenges.Comprehensive perioperative management can reduce risks.With the development of technology, its application prospects are broad, and it is expected to improve the treatment effect and quality of life of elderly patients.
