Long-term Follow-up of Therapeutic ERCP in 78 Patients Aged 90 Years or Older
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...
Main Authors: | , , , , , , , , , , , , , , |
---|---|
Format: | Online |
Language: | English |
Published: |
Nature Publishing Group
2014
|
Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4018606/ |
id |
pubmed-4018606 |
---|---|
recordtype |
oai_dc |
spelling |
pubmed-40186062014-05-13 Long-term Follow-up of Therapeutic ERCP in 78 Patients Aged 90 Years or Older Hu, Lianghao Sun, Xiaotian Hao, Junfeng Xie, Ting Liu, Minghao Xin, Lei Sun, Tao Liu, Muyun Zou, Wenbin Ye, Bo Liu, Feng Wang, Dong Cao, Ning Liao, Zhuan Li, Zhaoshen Article 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. Nature Publishing Group 2014-05-13 /pmc/articles/PMC4018606/ /pubmed/24819780 http://dx.doi.org/10.1038/srep04918 Text en Copyright © 2014, Macmillan Publishers Limited. All rights reserved http://creativecommons.org/licenses/by-nc-sa/3.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License. The images in this article are included in the article's Creative Commons license, unless indicated otherwise in the image credit; if the image is not included under the Creative Commons license, users will need to obtain permission from the license holder in order to reproduce the image. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/3.0/ |
repository_type |
Open Access Journal |
institution_category |
Foreign Institution |
institution |
US National Center for Biotechnology Information |
building |
NCBI PubMed |
collection |
Online Access |
language |
English |
format |
Online |
author |
Hu, Lianghao Sun, Xiaotian Hao, Junfeng Xie, Ting Liu, Minghao Xin, Lei Sun, Tao Liu, Muyun Zou, Wenbin Ye, Bo Liu, Feng Wang, Dong Cao, Ning Liao, Zhuan Li, Zhaoshen |
spellingShingle |
Hu, Lianghao Sun, Xiaotian Hao, Junfeng Xie, Ting Liu, Minghao Xin, Lei Sun, Tao Liu, Muyun Zou, Wenbin Ye, Bo Liu, Feng Wang, Dong Cao, Ning Liao, Zhuan Li, Zhaoshen Long-term Follow-up of Therapeutic ERCP in 78 Patients Aged 90 Years or Older |
author_facet |
Hu, Lianghao Sun, Xiaotian Hao, Junfeng Xie, Ting Liu, Minghao Xin, Lei Sun, Tao Liu, Muyun Zou, Wenbin Ye, Bo Liu, Feng Wang, Dong Cao, Ning Liao, Zhuan Li, Zhaoshen |
author_sort |
Hu, Lianghao |
title |
Long-term Follow-up of Therapeutic ERCP in 78 Patients Aged 90 Years or Older |
title_short |
Long-term Follow-up of Therapeutic ERCP in 78 Patients Aged 90 Years or Older |
title_full |
Long-term Follow-up of Therapeutic ERCP in 78 Patients Aged 90 Years or Older |
title_fullStr |
Long-term Follow-up of Therapeutic ERCP in 78 Patients Aged 90 Years or Older |
title_full_unstemmed |
Long-term Follow-up of Therapeutic ERCP in 78 Patients Aged 90 Years or Older |
title_sort |
long-term follow-up of therapeutic ercp in 78 patients aged 90 years or older |
description |
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. |
publisher |
Nature Publishing Group |
publishDate |
2014 |
url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4018606/ |
_version_ |
1612088246781607936 |