Long-term Follow-up of Therapeutic ERCP in 78 Patients Aged 90 Years or Older

被引：20

作者：

Hu, Lianghao ^{[1
,2
]}

Sun, Xiaotian ^{[1
]}

Hao, Junfeng ^{[1
,3
]}

Xie, Ting ^{[4
]}

Liu, Minghao ^{[1
]}

Xin, Lei ^{[1
]}

Sun, Tao ^{[1
]}

Liu, Muyun ^{[1
]}

Zou, Wenbin ^{[1
]}

Ye, Bo ^{[1
]}

Liu, Feng ^{[1
,2
]}

Wang, Dong ^{[2
]}

Cao, Ning

Liao, Zhuan ^{[1
,2
]}

Li, Zhaoshen ^{[1
,2
]}

机构：

[1] Second Mil Med Univ, Changhai Hosp, Dept Gastroenterol, Shanghai, Peoples R China

[2] Second Mil Med Univ, Changhai Hosp, Digest Endoscopy Ctr, Shanghai, Peoples R China

[3] Shenyang Mil Area Command, Dept Internal Med, Gen Hosp, Shenyang, Peoples R China

[4] Southeast Univ, Zhongda Hosp, Dept Gastroenterol, Nanjing, Jiangsu, Peoples R China

来源：

SCIENTIFIC REPORTS | 2014年 / 4卷

关键词：

ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; GASTROINTESTINAL ENDOSCOPY; PERIAMPULLARY DIVERTICULA; SPHINCTEROTOMY; COMPLICATIONS; MANAGEMENT; SAFETY;

D O I：

10.1038/srep04918

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

This study aimed to determine the performance and long-term outcomes of therapeutic ERCP in very old patients. Patients aged or over 90 (Group A, n = 78) and consecutive sex-matched controls (Group B, n = 312) under 65 selected were compared. More patients in Group A had chronic concomitant diseases, but the success and complication rates were comparable. The follow-up of 61 patients (78.2%) in Group A were done, with a mean period of 27.5 (3-54) months. Seven patients survived; the main causes of death for the other patients were concomitant diseases (n = 43) and primary diseases (n = 11). In patients with choledocholithiasis, cases with complete extractions of stones in bile ducts survived longer than those without (30 vs. 24 months, P < 0.001). Therapeutic ERCP in patients aged 90 years or older is effective and safe. In patients with choledocholithiasis, complete clearance of stones is associated with longer survival time.

引用

页数：5

共 27 条

[1] Endoscopic retrograde cholangiopancreatography in elderly patients [J].

Ashton, CE ;

McNabb, WR ;

Wilkinson, ML ;

Lewis, RR .

AGE AND AGEING, 1998, 27 (06) :683-688

[2] Endoscopic retrograde cholangiopancreatography in elderly patients [J].

Chang, Wen-Hsiung ;

Lei, Wei-Yi .

INTERNATIONAL JOURNAL OF GERONTOLOGY, 2007, 1 (02) :83-88

[3] The indications, utilization and safety of gastrointestinal endoscopy in an extremely elderly patient cohort [J].

Clarke, GA ;

Jacobson, BC ;

Hammett, RJ ;

Carr-Locke, DL .

ENDOSCOPY, 2001, 33 (07) :580-584

[4]

COHEN JR, 1988, SURGERY, V104, P646

[5] ENDOSCOPIC SPHINCTEROTOMY COMPLICATIONS AND THEIR MANAGEMENT - AN ATTEMPT AT CONSENSUS [J].

COTTON, PB ;

LEHMAN, G ;

VENNES, J ;

GEENEN, JE ;

RUSSELL, RCG ;

MEYERS, WC ;

LIGUORY, C ;

NICKL, N .

GASTROINTESTINAL ENDOSCOPY, 1991, 37 (03) :383-393

[6] Complications of endoscopic biliary sphincterotomy: A review [J].

Freeman, ML .

ENDOSCOPY, 1997, 29 (04) :288-297

[7]

Gonzalez JJ, 1997, HEPATO-GASTROENTEROL, V44, P1565

[8] Outcome of emergency ERCP for acute cholangitis in patients 90 years of age and older [J].

Hui, CK ;

Liu, CL ;

Lai, KC ;

Chan, SC ;

Hu, WHC ;

Wong, WM ;

Cheung, WW ;

Ng, M ;

Yuen, MF ;

Chan, AO ;

Lo, CM ;

Fan, ST ;

Wong, BCY .

ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2004, 19 (11) :1153-1158

[9] Efficacy and safety of therapeutic ERCP in patients 90 years of age and older [J].

Katsinelos, P ;

Paroutoglou, G ;

Kountouras, J ;

Zavos, C ;

Beltsis, A ;

Tzovaras, G .

GASTROINTESTINAL ENDOSCOPY, 2006, 63 (03) :417-423

[10] A Long-Term Follow-Up Study on Endoscopic Management of Children and Adolescents With Chronic Pancreatitis [J].

Li, Zhao-Shen ;

Wang, Wei ;

Liao, Zhuan ;

Zou, Duo-Wu ;

Jin, Zhen-Dong ;

Chen, Jie ;

Wu, Ren-Pei ;

Liu, Feng ;

Wang, Luo-Wei ;

Shi, Xin-Gang ;

Yang, Zhao ;

Wang, Li .

AMERICAN JOURNAL OF GASTROENTEROLOGY, 2010, 105 (08) :1884-1892

← 1 2 3 →