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5.
Gastrointest Endosc ; 58(2): 220-5, 2003 Aug.
Article in English | MEDLINE | ID: mdl-12872089

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.


Subject(s)
Cholangiopancreatography, Endoscopic Retrograde , Gallstones/diagnosis , Gallstones/therapy , Jaundice, Obstructive/diagnosis , Jaundice, Obstructive/therapy , Adjuvants, Anesthesia , Age Factors , Aged , Aged, 80 and over , Anesthetics, Intravenous , Biliary Tract Neoplasms/complications , Cholangiopancreatography, Endoscopic Retrograde/adverse effects , Conscious Sedation/methods , Female , Follow-Up Studies , Humans , Male , Midazolam , Retrospective Studies , Scopolamine , Sphincterotomy, Endoscopic , Stents
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