Endoscopic retrograde pancreatography in elderly patients.
We studied two hundred patients aged 65-88 years who underwent endoscopic retrograde pancreatography (ERP); the control group included 200 patients aged 35-55 years. A normal pancreatogram was found in 51.6% of the geriatric patients and in 59.0% of the middle-aged patients. Pancreatic carcinoma and chronic pancreatitis with "Moderate" changes (according to the Cambridge classification) were significantly more frequent in the group of elderly patients. In the geriatric patients without pancreatic changes in the ERP, the main pancreatic duct (in the head, body and tail of the pancreas) was significantly wider than that in the corresponding group of middle-aged patients. We suppose that age-dependent changes in the pancreas must be taken into consideration during diagnostic procedure in elderly patients.
Szałaj
W
W
Department of Gastroenterology, J. Sniadecki's Regional Hospital, Białystok, Poland.
Skwarski
L
L
Namiot
Z
Z
Killar
G
G
Stasiewicz
J
J
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002760:Cholangiopancreatography, Endoscopic Retrograde; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000033:anatomy & histology*; D010182:Pancreatic Diseases / Q000175:diagnosis*