Outcomes of bile duct drainage by means of ERCP in geriatric patients
Endoscopic retrograde cholangiopancreatography (ERCP) is usually the procedure of choice for relieving bile duct obstruction. a large number of patients undergoing this intervention are geriatric population (aged 75 years of age and older). Our aim was to assess the efficacy of ERCP in this group of...
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| Veröffentlicht in: | Revista española de enfermedades digestivas 2007-08, Vol.99 (8), p.451-456 |
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| creator | García-Cano, J González Martín, J A Morillas Ariño, M J Pérez García, J I Redondo Cerezo, E Jimeno Ayllón, C Viñuelas Chicano, M Sánchez Manjavacas, N Gómez Ruiz, C J Pérez Vigara, M G Pérez Sola, A |
| description | Endoscopic retrograde cholangiopancreatography (ERCP) is usually the procedure of choice for relieving bile duct obstruction. a large number of patients undergoing this intervention are geriatric population (aged 75 years of age and older). Our aim was to assess the efficacy of ERCP in this group of patients as compared to younger ones.
A retrospective study. All patients in whom a therapeutic biliary endoscopy had been performed over a four-year period of time (2002-2005) were included.
178 geriatric patients and 159 younger ones underwent ERCP. No differences were found in successful biliary drainage (97.7 vs. 98.7%), complication number (11.8 vs. 14.4%), or mortality rate (1.1 vs. 0.6%). On the other hand, more common bile duct stones were found in geriatric patients (57.3 vs. 39.6%, p = 0.004), and also more self-expanding metal stents were employed to drain malignant obstructive jaundice (47 vs. 8%, p = 0.0035). In the youngest group, more ERCPs were repeated in the same patients (4 vs. 10%, p = 0.001).
The geriatric population showed similar success and morbidity and mortality rates when compared to younger patients in draining their bile duct by means of ERCP. Common bile duct stones were more frequently found in geriatric patients. No patients needing an ERCP should be excluded only because of their age. |
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A retrospective study. All patients in whom a therapeutic biliary endoscopy had been performed over a four-year period of time (2002-2005) were included.
178 geriatric patients and 159 younger ones underwent ERCP. No differences were found in successful biliary drainage (97.7 vs. 98.7%), complication number (11.8 vs. 14.4%), or mortality rate (1.1 vs. 0.6%). On the other hand, more common bile duct stones were found in geriatric patients (57.3 vs. 39.6%, p = 0.004), and also more self-expanding metal stents were employed to drain malignant obstructive jaundice (47 vs. 8%, p = 0.0035). In the youngest group, more ERCPs were repeated in the same patients (4 vs. 10%, p = 0.001).
The geriatric population showed similar success and morbidity and mortality rates when compared to younger patients in draining their bile duct by means of ERCP. Common bile duct stones were more frequently found in geriatric patients. No patients needing an ERCP should be excluded only because of their age.</description><identifier>ISSN: 1130-0108</identifier><identifier>PMID: 18020861</identifier><language>eng ; spa</language><publisher>Spain</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Bile Ducts ; Cholangiopancreatography, Endoscopic Retrograde ; Cholestasis - surgery ; Drainage ; Humans ; Middle Aged ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Revista española de enfermedades digestivas, 2007-08, Vol.99 (8), p.451-456</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18020861$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>García-Cano, J</creatorcontrib><creatorcontrib>González Martín, J A</creatorcontrib><creatorcontrib>Morillas Ariño, M J</creatorcontrib><creatorcontrib>Pérez García, J I</creatorcontrib><creatorcontrib>Redondo Cerezo, E</creatorcontrib><creatorcontrib>Jimeno Ayllón, C</creatorcontrib><creatorcontrib>Viñuelas Chicano, M</creatorcontrib><creatorcontrib>Sánchez Manjavacas, N</creatorcontrib><creatorcontrib>Gómez Ruiz, C J</creatorcontrib><creatorcontrib>Pérez Vigara, M G</creatorcontrib><creatorcontrib>Pérez Sola, A</creatorcontrib><title>Outcomes of bile duct drainage by means of ERCP in geriatric patients</title><title>Revista española de enfermedades digestivas</title><addtitle>Rev Esp Enferm Dig</addtitle><description>Endoscopic retrograde cholangiopancreatography (ERCP) is usually the procedure of choice for relieving bile duct obstruction. a large number of patients undergoing this intervention are geriatric population (aged 75 years of age and older). Our aim was to assess the efficacy of ERCP in this group of patients as compared to younger ones.
A retrospective study. All patients in whom a therapeutic biliary endoscopy had been performed over a four-year period of time (2002-2005) were included.
178 geriatric patients and 159 younger ones underwent ERCP. No differences were found in successful biliary drainage (97.7 vs. 98.7%), complication number (11.8 vs. 14.4%), or mortality rate (1.1 vs. 0.6%). On the other hand, more common bile duct stones were found in geriatric patients (57.3 vs. 39.6%, p = 0.004), and also more self-expanding metal stents were employed to drain malignant obstructive jaundice (47 vs. 8%, p = 0.0035). In the youngest group, more ERCPs were repeated in the same patients (4 vs. 10%, p = 0.001).
The geriatric population showed similar success and morbidity and mortality rates when compared to younger patients in draining their bile duct by means of ERCP. Common bile duct stones were more frequently found in geriatric patients. No patients needing an ERCP should be excluded only because of their age.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bile Ducts</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Cholestasis - surgery</subject><subject>Drainage</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>1130-0108</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j0tLxDAURrNQnHH0L0hW7go3TR_JUkp9wMCI6LrcJjdDpC-TdDH_XtFxdRbf4YNzwbZCSMhAgNqw6xg_AQpZlfkV2wgFOahKbFl7WJOZR4p8drz3A3G7msRtQD_hkXh_4iPh9Du3b80r9xM_UvCYgjd8weRpSvGGXTocIt2euWMfj-1785ztD08vzcM-W4TUKatroUqobZmbWlpbQKl6KKwxBTgtqt6ARidRS5XnUKIjLWpXodJOWXJg5I7d__0uYf5aKaZu9NHQMOBE8xq7SpVSgC5-xLuzuPYj2W4JfsRw6v7D5TeFCFJg</recordid><startdate>200708</startdate><enddate>200708</enddate><creator>García-Cano, J</creator><creator>González Martín, J A</creator><creator>Morillas Ariño, M J</creator><creator>Pérez García, J I</creator><creator>Redondo Cerezo, E</creator><creator>Jimeno Ayllón, C</creator><creator>Viñuelas Chicano, M</creator><creator>Sánchez Manjavacas, N</creator><creator>Gómez Ruiz, C J</creator><creator>Pérez Vigara, M G</creator><creator>Pérez Sola, A</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200708</creationdate><title>Outcomes of bile duct drainage by means of ERCP in geriatric patients</title><author>García-Cano, J ; González Martín, J A ; Morillas Ariño, M J ; Pérez García, J I ; Redondo Cerezo, E ; Jimeno Ayllón, C ; Viñuelas Chicano, M ; Sánchez Manjavacas, N ; Gómez Ruiz, C J ; Pérez Vigara, M G ; Pérez Sola, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p139t-7718507d52c73dd4058b04dcc40f916bc09af3a9382205afe917f6a89f8def0c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; spa</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bile Ducts</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Cholestasis - surgery</topic><topic>Drainage</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>García-Cano, J</creatorcontrib><creatorcontrib>González Martín, J A</creatorcontrib><creatorcontrib>Morillas Ariño, M J</creatorcontrib><creatorcontrib>Pérez García, J I</creatorcontrib><creatorcontrib>Redondo Cerezo, E</creatorcontrib><creatorcontrib>Jimeno Ayllón, C</creatorcontrib><creatorcontrib>Viñuelas Chicano, M</creatorcontrib><creatorcontrib>Sánchez Manjavacas, N</creatorcontrib><creatorcontrib>Gómez Ruiz, C J</creatorcontrib><creatorcontrib>Pérez Vigara, M G</creatorcontrib><creatorcontrib>Pérez Sola, A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revista española de enfermedades digestivas</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>García-Cano, J</au><au>González Martín, J A</au><au>Morillas Ariño, M J</au><au>Pérez García, J I</au><au>Redondo Cerezo, E</au><au>Jimeno Ayllón, C</au><au>Viñuelas Chicano, M</au><au>Sánchez Manjavacas, N</au><au>Gómez Ruiz, C J</au><au>Pérez Vigara, M G</au><au>Pérez Sola, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcomes of bile duct drainage by means of ERCP in geriatric patients</atitle><jtitle>Revista española de enfermedades digestivas</jtitle><addtitle>Rev Esp Enferm Dig</addtitle><date>2007-08</date><risdate>2007</risdate><volume>99</volume><issue>8</issue><spage>451</spage><epage>456</epage><pages>451-456</pages><issn>1130-0108</issn><abstract>Endoscopic retrograde cholangiopancreatography (ERCP) is usually the procedure of choice for relieving bile duct obstruction. a large number of patients undergoing this intervention are geriatric population (aged 75 years of age and older). Our aim was to assess the efficacy of ERCP in this group of patients as compared to younger ones.
A retrospective study. All patients in whom a therapeutic biliary endoscopy had been performed over a four-year period of time (2002-2005) were included.
178 geriatric patients and 159 younger ones underwent ERCP. No differences were found in successful biliary drainage (97.7 vs. 98.7%), complication number (11.8 vs. 14.4%), or mortality rate (1.1 vs. 0.6%). On the other hand, more common bile duct stones were found in geriatric patients (57.3 vs. 39.6%, p = 0.004), and also more self-expanding metal stents were employed to drain malignant obstructive jaundice (47 vs. 8%, p = 0.0035). In the youngest group, more ERCPs were repeated in the same patients (4 vs. 10%, p = 0.001).
The geriatric population showed similar success and morbidity and mortality rates when compared to younger patients in draining their bile duct by means of ERCP. Common bile duct stones were more frequently found in geriatric patients. No patients needing an ERCP should be excluded only because of their age.</abstract><cop>Spain</cop><pmid>18020861</pmid><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Bile Ducts Cholangiopancreatography, Endoscopic Retrograde Cholestasis - surgery Drainage Humans Middle Aged Retrospective Studies Treatment Outcome |
| title | Outcomes of bile duct drainage by means of ERCP in geriatric patients |
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