DOES AGE INFLUENCE IN ENDOSCOPIC THERAPEUTIC SUCCESS ON THE BILIARY TRACT?
DOES AGE INFLUENCE IN ENDOSCOPIC THERAPEUTIC SUCCESS ON THE BILIARY TRACT?
复制标题
年龄会影响胆道内镜治疗的成功吗？
DOI：
10.1590/0102-672020210003e1607
复制
发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Bochnia MF
中科院分区：
文献类型：
--
作者：
Hybner L;Tabushi FI;Collaço LM;Rosa ÉGD;Rocha BFMD;Bochnia MF
逆行内镜胰胆管造影术（ERCP）可有效治疗胆胰疾病。它的适应症是有限的和精确的，因为它的滥用延误了充分的治疗，增加了成本和患者的不良事件。 比较与年龄相关的接受ERCP的患者的治疗成功率相关的临床、放射学和探查特征。 回顾性研究了421例接受该方法的患者;排除了无法进入十二指肠乳头的患者。将患者分为<60岁（组1）和>60岁（组2）两组，分析性别、检查指征、影像学表现、治疗成功率、诊断和即刻不良事件的发生情况。 177例患者被分配到第1组，235例被分配到第2组。两组的主要适应症均为胆总管结石。在第2组中，急性胆管炎（p=0.001）、胆管狭窄（p=0.002）和乳头癌（p=0.046）的病例数较高。在该组中，急诊内镜下逆行胰胆管造影的指征较高（p=0.042），以及胆道扩张的诊断较高（p<0.001）。假体放置是两组中最常见的手术，但第2组的患者绝对数量最多。在第1组中，导管插入成功率和实现胆道清除的机会显著高于第2组（p=0.016，OR=2.1）。 年轻患者组的导管插入成功率和胆管完全清除率显著较高。
Retrograde endoscopic cholangiopancreatography (ERCP) effectively treats biliary and pancreatic disorders. Its indications are limited and precise, since its misuse delays adequate treatment, increases costs and to patient´s adverse events. To compare clinical, radiological and exploratory characteristics in relation to therapeutic success in patients undergoing ERCP in relation to age. 421 patients who underwent the method were retrospectively studied; those who were not able to access the duodenal papilla were excluded. The patients were divided into two age groups: <60 years (group 1) and >60 years (group 2), and the variables of gender, examination indications, radiological findings, therapeutic success, diagnosis and the occurrence of immediate adverse events were analyzed. 177 patients were allocated to group 1 and 235 to group 2. The main indication found in both groups was choledocholithiasis. In group 2, the number of cases of acute cholangitis (p=0.001), biliary stenosis (p=0.002) and papilla cancer (p=0.046) was higher. In this group, urgent indication for ERCP was higher (p=0.042), as well as the diagnosis of biliary tract dilatation (p<0.001). The placement of prostheses was the most common procedure performed in both groups, but the greatest number of patients in absolute quantity occurred in group 2. In group 1, the success in catheterization and the chance of achieving clearing of the biliary tract was significantly higher in compared to group 2 (p=0.016, OR=2.1). The success of catheterization and complete clearance of the bile duct was significantly higher in the group of young patients.
登录
查看更多内容
影响因子：
7.7
作者：
Adler, DG;Baron, TH;Faigel, DO
通讯作者：
Faigel, DO
影响因子：
1.2
作者：
Obana, Takashi;Fujita, Naotaka;Ogawa, Takahisa
通讯作者：
Ogawa, Takahisa
影响因子：
7.7
作者：
Moffatt, Dana C.;Yu, B. Nancy;Bernstein, Charles N.
通讯作者：
Bernstein, Charles N.
影响因子：
7.7
作者：
KAWAI, K;AKASAKA, Y;NAKAJIMA, M
通讯作者：
NAKAJIMA, M
影响因子：
6.7
作者：
Köklü, S;Parlak, E;Sahin, B
通讯作者：
Sahin, B