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Long-term follow-up of therapeutic ERCP in 78 patients aged 90 years or older.


ABSTRACT: 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.

SUBMITTER: Hu L 

PROVIDER: S-EPMC4018606 | biostudies-literature | 2014 May

REPOSITORIES: biostudies-literature

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Long-term follow-up of therapeutic ERCP in 78 patients aged 90 years or older.

Hu Lianghao L   Sun Xiaotian X   Hao Junfeng J   Xie Ting T   Liu Minghao M   Xin Lei L   Sun Tao T   Liu Muyun M   Zou Wenbin W   Ye Bo B   Liu Feng F   Wang Dong D   Cao Ning N   Liao Zhuan Z   Li Zhaoshen Z  

Scientific reports 20140513


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  ...[more]

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