Document Detail

Efficacy and safety of therapeutic ERCP in patients 90 years of age and older.
MedLine Citation:
PMID:  16500389     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Therapeutic ERCP has an established role in the treatment of pancreatobiliary diseases, but little information is available on the outcomes of this procedure in patients 90 years of age and older. OBJECTIVE: To evaluate the efficacy and the safety of therapeutic ERCP in an extremely elderly cohort. DESIGN: Retrospective study. SETTING: Two Greek cohorts of patients > or =90 and 70 to 89 years of age who underwent therapeutic ERCPs. PATIENTS: Sixty-three patients aged 90 years and older (group A) and 350 patients 70 to 89 years of age (group B). INTERVENTIONS: A retrospective review of therapeutic ERCPs was performed between 1994 and 2000 on both groups, identified by using a database linked to the endoscopy reporting system in our department. MAIN OUTCOME MEASUREMENTS: Efficacy and safety of therapeutic ERCPs. Concomitant diseases, complications, and outcome were also evaluated. RESULTS: Group A patients had a higher incidence of concomitant diseases than group B patients (100% vs 72.8%, respectively). The rate of post-ERCP early complications was low in both groups: 6.3% in group A and 8.4% in group B. The frequency of ERCP-related mortality was 1.6% (1 patient) in group A and 0.6% (2 patients) in group B. Group A required endoscopic sessions for stone clearance and mechanical lithotripsy more frequently than group B (20.6% vs 11.4% and 17.5% vs 10.3%, respectively). No patient in either group experienced subjective deterioration in mental status, and the 3 patients who died required ventilatory support before death. Late complications occurred in 2.3% of patients in group B. CONCLUSIONS: Therapeutic ERCP is safe and effective for the treatment of pancreatobiliary diseases in extremely elderly patients, and advanced age per se should not impinge on decisions relating to its use.
Panagiotis Katsinelos; George Paroutoglou; Jannis Kountouras; Christos Zavos; Athanasios Beltsis; George Tzovaras
Related Documents :
17873499 - Octreotide in the management of chemoradiotherapy-induced diarrhea refractory to lopera...
24769969 - Radiofrequency volumetric thermal ablation of fibroids: analysis of 3-year outcomes.
25086129 - Functional outcome and quality of life after the surgical treatment for diffuse-type gi...
24053499 - Quality of life following endoscopic endonasal resection of anterior skull base cancers.
23524149 - Efficacy of intraoperative dexmedetomidine infusion on emergence agitation and quality ...
18794429 - Planned early discharge-elective surgical readmission pathway for patients with gallsto...
8398949 - Early response to haloperidol treatment in chronic schizophrenia.
12697369 - Month 3 and month 6 measurements of bone mineral density predict the annual outcome in ...
19172099 - Transurethral incision of the bladder neck using ktp in the treatment of bladder neck o...
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Gastrointestinal endoscopy     Volume:  63     ISSN:  0016-5107     ISO Abbreviation:  Gastrointest. Endosc.     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-02-27     Completed Date:  2006-08-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0010505     Medline TA:  Gastrointest Endosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  417-23     Citation Subset:  IM    
Department of Endoscopy and Motility Unit, Central Hospital, Thessaloniki, Greece.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Age Factors*
Aged, 80 and over
Bile Duct Diseases / complications,  radiography,  surgery*
Cholangiopancreatography, Endoscopic Retrograde / adverse effects*
Cohort Studies
Health Status
Pancreatic Diseases / complications,  radiography,  surgery*
Postoperative Complications / epidemiology
Retrospective Studies
Treatment Outcome
Comment In:
Gastrointest Endosc. 2006 Sep;64(3):471-2   [PMID:  16923514 ]
Gastrointest Endosc. 2006 Aug;64(2):296-7   [PMID:  16860095 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Endoscopic management of pancreatic pseudocysts or abscesses after an EUS-guided 1-step procedure fo...
Next Document:  Abdominal CT as a predictor of outcome before attempted direct percutaneous endoscopic jejunostomy.