1. ERCP in patients 90 years of age and older.
- Author
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Rodríguez-González FJ, Naranjo-Rodríguez A, Mata-Tapia I, Chicano-Gallardo M, Puente-Gutierrez JJ, López-Vallejos P, Hervás-Molina AJ, and de Dios-Vega JF
- Subjects
- Adjuvants, Anesthesia, Age Factors, Aged, Aged, 80 and over, Anesthetics, Intravenous, Biliary Tract Neoplasms complications, Conscious Sedation methods, Female, Follow-Up Studies, Humans, Male, Midazolam, Retrospective Studies, Scopolamine, Sphincterotomy, Endoscopic, Stents, Cholangiopancreatography, Endoscopic Retrograde adverse effects, Gallstones diagnosis, Gallstones therapy, Jaundice, Obstructive diagnosis, Jaundice, Obstructive therapy
- Abstract
Background: Biliary diseases represent particular diagnostic and therapeutic problems in elderly patients., Methods: Patients 90 years of age or older who underwent ERCP from January 1993 to September 2001 were studied retrospectively., Results: A total of 126 patients underwent 147 ERCP procedures (range 1-5 per patient). Twelve additional ERCPs were performed in 9 of the patients during follow-up because of recurrent symptoms. A total of 159 procedures were, therefore, available for analysis. The most frequent indications were suspicion of bile duct stones (46.8%) and obstructive jaundice (35.7%). Midazolam (95.6%) was used for conscious sedation and hyoscine (74.8%) for duodenal ileus. Patient tolerance of the procedure was good in 92.4% of sessions. Diagnoses included bile duct stones (54%), bile duct dilatation without any apparent obstruction (11.9%), and malignant stenosis (9.5%). Therapeutic procedures were indicated in 95.6% of diagnosed patients and completed in 96.3% of cases. Complications occurred in association with 2.5% of the ERCP procedures; the procedure-related mortality rate was 0.7%., Conclusions: ERCP in elderly patients is practicable. The complication rate is low, and therapeutic efficacy is good.
- Published
- 2003
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