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Title: Endoscopic retrograde cholangiopancreatography in Ayrshire, Scotland: a comparison of two age cohorts
Authors: Pericleous, Stephanos
Smith, Laura Isobel
Karim, Muhammad Ali
Middleton, Nicos 
Musbahi, Aya
Abdulmajid, Ali
Keywords: Pancreato-biliary disease;Cholangiopancreatography (ERCP)
Category: Clinical Medicine
Field: Medical and Health Sciences
Issue Date: 2015
Publisher: SAGE
Source: Scottish medical journal, Volume 60, Issue 2, Pages 95-100, 2015
Abstract: Background and aims There is an increased trend in prevalence of pancreato-biliary disease in the elderly population. Consequently there is an increasing demand for endoscopic retrograde cholangiopancreatography (ERCP). The aims of this study were to compare ERCP outcomes in patients over 80 with those aged between 60 and 79 years and with the published literature.Methods and results Data were collected from a prospectively maintained database. All patients over the age of 60 years who underwent ERCP from May 2010 to May 2012 were identified. Two cohorts were formed, group A: 60–79 years (n = 66) and group B: > 80 years old (n = 49). Data on indications for ERCP, outcome, complications and repeat procedures were collected. One hundred and fifteen patients between the age of 60 and 92 years were identified. Group A had a total of 89 ERCPs and group B 69. Cannulation, overall procedure success, complication and mortality rates were comparable between both groups. Group B contained two cases of perforation with one associated mortality (1.4%) which did not reach statistical significance. Conclusions ERCP in octogenarians is safe and effective when compared to patients aged 60–79.
ISSN: 0036-9330
DOI: 10.1177/0036933015576695
Rights: ©2016 by SAGE Publications
Type: Article
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