Efficacy and Safety of Therapeutic ERCP for the Elderly with Choledocholithiasis: Comparison with Younger Patients

Efficacy and Safety of Therapeutic ERCP for the Elderly with Choledocholithiasis: Comparison with Younger Patients
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DOI:
10.2169/internalmedicine.49.3660
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发表时间:
2010-01-01
期刊:
影响因子:
1.2
通讯作者:
Ogawa, Takahisa
Ogawa, Takahisa
中科院分区:
医学4区
文献类型:
--
作者:
Obana, Takashi;Fujita, Naotaka;Ogawa, Takahisa

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目的 探讨内镜逆行胰胆管造影术治疗老年胆总管结石患者与年轻患者的疗效和安全性。方法回顾性分析2005年至2007年我院连续行治疗性ERCP治疗的118例80岁以上患者(A组)和205例80岁以下患者(B组)。比较两组插管成功率、结石完全清除率、并发症及预后。结果 A组插管成功率为99.2%,B组为99.5%。A组结石完全清除率显着低于B组(92.4% vs 99.0%,p)
Objective To clarify the efficacy and safety of therapeutic endoscopic retrograde cholangiopancreatography for the elderly with choledocholithiasis compared with younger patients.Methods Consecutive therapeutic ERCPs performed between 2005 and 2007 at our institution for 118 patients aged 80 years or older (group A) and 205 patients younger than 80 years old (group B) were retrospectively reviewed. Successful cannulation rate, complete stone clearance rate, complications and prognosis were compared between the two groups.Results Successful cannulation was achieved in 99.2% in group A versus 99.5% in group B. The complete stone clearance rate was significantly lower in group A than in group B (92.4% versus 99.0%, p