PMID- 37810900
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231018
IS  - 2364-3722 (Print)
IS  - 2196-9736 (Electronic)
IS  - 2196-9736 (Linking)
VI  - 11
IP  - 9
DP  - 2023 Sep
TI  - ERCP in patients over 90 years old: Safety and efficacy comparison with a younger 
      cohort.
PG  - E893-E898
LID - 10.1055/a-2153-7094 [doi]
AB  - Background and study aims As life expectancy increases worldwide, so does the 
      prevalence of biliary tract and pancreatic disorders, resulting in rising demand 
      for invasive procedures such as endoscopic retrograde cholangiopancreatography 
      (ERCP) in the elderly. Few studies have assessed the safety of ERCP in patients 
      90 years and older, particularly among the Hispanic population. The primary aim 
      of this study was to determine the technical success and adverse events (AEs) 
      associated with ERCP in patients 90 years of age or older in comparison to a 
      younger cohort of patients. Patients and methods A retrospective analysis of all 
      ERCPs done at our institution from 2012 to 2018 was performed. Three hundred 
      ERCPs in patients < 90 years old and all 28 ERCPs done in patients >/= 90 years old 
      were included in the analysis. Results ERCPs were successfully completed in 96.4% 
      of patients > 90 years old and 96.3% of the < 90-year-old cohort (realtive risk 
      [RR] 1.00, confidence interval 0.92-1.07). There was no difference in the rate of 
      periprocedural AEs. Post-ERCP AEs occurred in 7.1% and 3.0% in patients aged < 90 
      and > 90 years, respectively (RR 2.38, 0.54-10.48). No deaths were directly 
      attributed to the procedure; however, inpatient mortality was higher in the group 
      aged > 90 years. Conclusions ERCP is safe and effective in nonagenarian patients, 
      and advanced age should not be considered an independent risk factor for AEs nor 
      a contraindication for the procedure.
CI  - The Author(s). This is an open access article published by Thieme under the terms 
      of the Creative Commons Attribution-NonDerivative-NonCommercial-License, 
      permitting copying and reproduction so long as the original work is given 
      appropriate credit. Contents may not be used for commercial purposes, or adapted, 
      remixed, transformed or built upon. 
      (https://creativecommons.org/licenses/by-nc-nd/4.0/).
FAU - Colmenero Gargari, Ana E
AU  - Colmenero Gargari AE
AD  - Family Medicine, Bella Vista Hospital, Mayaguez, Puerto Rico. RINGGOLD: 36641
FAU - Melgar Somoza, Fernando E
AU  - Melgar Somoza FE
AD  - Family Medicine, Bella Vista Hospital, Mayaguez, Puerto Rico. RINGGOLD: 36641
FAU - Vera, Jorge
AU  - Vera J
AD  - Family Medicine, Bella Vista Hospital, Mayaguez, Puerto Rico. RINGGOLD: 36641
FAU - Micames, Carlos G
AU  - Micames CG
AUID- ORCID: 0000-0002-6083-212X
AD  - Division of Gastroenterology, Bella Vista Hospital, Mayaguez, Puerto Rico. 
      RINGGOLD: 36641
LA  - eng
PT  - Journal Article
DEP - 20231006
PL  - Germany
TA  - Endosc Int Open
JT  - Endoscopy international open
JID - 101639919
PMC - PMC10558256
OTO - NOTNLM
OT  - Biliary stones
OT  - Biliary strictures
OT  - ERCP
OT  - Pancreaticobiliary diseases
OT  - Performance and complications
OT  - Post-ERCP pancreatitis
OT  - Quality and logistical aspects
COIS- Conflict of Interest The authors declare that they have no conflict of interest.
EDAT- 2023/10/09 12:43
MHDA- 2023/10/09 12:44
PMCR- 2023/10/01
CRDT- 2023/10/09 06:10
PHST- 2022/06/29 00:00 [received]
PHST- 2023/07/21 00:00 [accepted]
PHST- 2023/10/09 12:44 [medline]
PHST- 2023/10/09 12:43 [pubmed]
PHST- 2023/10/09 06:10 [entrez]
PHST- 2023/10/01 00:00 [pmc-release]
AID - EIO-2022-06-2792-OA [pii]
AID - 10.1055/a-2153-7094 [doi]
PST - epublish
SO  - Endosc Int Open. 2023 Oct 6;11(9):E893-E898. doi: 10.1055/a-2153-7094. 
      eCollection 2023 Sep.