title: Long-term follow-up of therapeutic ERCP in 78 patients aged 90 years or older.
abstract: This study aimed to determine the performance and long-term outcomes of therapeutic ERCP in very old patients. Patients aged or over 90 (Group A, n = 78) and consecutive sex-matched controls (Group B, n = 312) under 65 selected were compared. More patients in Group A had chronic concomitant diseases, but the success and complication rates were comparable. The follow-up of 61 patients (78.2%) in Group A were done, with a mean period of 27.5 (3-54) months. Seven patients survived; the main causes of death for the other patients were concomitant diseases (n = 43) and primary diseases (n = 11). In patients with choledocholithiasis, cases with complete extractions of stones in bile ducts survived longer than those without (30 vs. 24 months, P < 0.001). Therapeutic ERCP in patients aged 90 years or older is effective and safe. In patients with choledocholithiasis, complete clearance of stones is associated with longer survival time.
authors.affiliation: 1] Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China [2] Digestive Endoscopy Center, Changhai Hospital, Second Military Medical University, Shanghai, China [3].
authors.forename: Lianghao
authors.initials: L
authors.lastname: Hu
authors.affiliation: 1] Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China [2].
authors.forename: Xiaotian
authors.initials: X
authors.lastname: Sun
authors.affiliation: 1] Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China [2] Department of Internal Medicine, General Hospital of Shenyang Military Area Command, Shenyang, China [3].
authors.forename: Junfeng
authors.initials: J
authors.lastname: Hao
authors.affiliation: Department of Gastroenterology, Zhongda Hospital, Southeast University, Nanjing, China.
authors.forename: Ting
authors.initials: T
authors.lastname: Xie
authors.affiliation: Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Minghao
authors.initials: M
authors.lastname: Liu
authors.affiliation: Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Lei
authors.initials: L
authors.lastname: Xin
authors.affiliation: Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Tao
authors.initials: T
authors.lastname: Sun
authors.affiliation: Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Muyun
authors.initials: M
authors.lastname: Liu
authors.affiliation: Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Wenbin
authors.initials: W
authors.lastname: Zou
authors.affiliation: Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Bo
authors.initials: B
authors.lastname: Ye
authors.affiliation: 1] Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China [2] Digestive Endoscopy Center, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Feng
authors.initials: F
authors.lastname: Liu
authors.affiliation: Digestive Endoscopy Center, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Dong
authors.initials: D
authors.lastname: Wang
authors.affiliation: Department of Gastroenterology, Zhongda Hospital, Southeast University, Nanjing, China.
authors.forename: Ning
authors.initials: N
authors.lastname: Cao
authors.affiliation: 1] Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China [2] Digestive Endoscopy Center, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Zhuan
authors.initials: Z
authors.lastname: Liao
authors.affiliation: 1] Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China [2] Digestive Endoscopy Center, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Zhaoshen
authors.initials: Z
authors.lastname: Li
mesh_terms: D000367:Age Factors; D000369:Aged, 80 and over; D001660:Biliary Tract Diseases / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010182:Pancreatic Diseases / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D016896:Treatment Outcome