title: Can endoscopic sphincterotomy be performed safely in elderly patients aged 80 years or older with pancreatic and biliary diseases?
abstract: OBJECTIVE
  The purpose of this study was to investigate whether endoscopic sphincterotomy (EST) can be usefully and safely performed in elderly patients aged 80 years or older.
  
  
  METHODS
  The eligible patients with pancreatic and biliary diseases who required EST were divided into two groups depending on their age: under 80 (group A) and 80 or older (group B). Patient characteristics, EST success rate and incidence of the related complications were evaluated.
  
  
  RESULTS
  Of the 720 patients who required EST, 522 patients were in group A and 198 in group B. Group B incidences of patient characteristics at baseline disease and anticoagulant/antiplatelet therapy were significantly higher than in group A (p<0.05). The EST success rates were 97.1% (507/522) in group A and 96.5% (191/198) in group B. The incidences of the related complications were 8.8% (46/522) in group A and 4% (8/198) in group B, respectively, again without significant difference.
  
  
  CONCLUSIONS
  The EST success rate and the incidence of related complications were comparable between patients in groups A and B, indicating that EST can be safely performed even in the elderly aged 80 years or older.
authors: Yuji
authors: Y
authors: Sakai
authors: Toshio
authors: T
authors: Tsuyuguchi
authors: Nobuto
authors: N
authors: Hirata
authors: So
authors: S
authors: Nakaji
authors: Kenji
authors: K
authors: Shimura
authors: Tatsuya
authors: T
authors: Fujimoto
authors: Shin
authors: S
authors: Tsuchiya
authors: Takayoshi
authors: T
authors: Nishino
authors: Takao
authors: T
authors: Nishikawa
authors: Harutoshi
authors: H
authors: Sugiyama
authors: Osamu
authors: O
authors: Yokosuka
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001660:Biliary Tract Diseases / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000601:surgery*; D016717:Sphincterotomy, Endoscopic / Q000009:adverse effects*