经内镜逆行胰胆管造影治疗80岁以上胆胰疾病患者的策略

摘要

As an aging society,China has an increasing number of elderly patients (≥80 years).Given the characteristics of pancreatico-biliary diseases in elderly patients,therapeutic endoscopic retrograde cholangiopancreatography (TERCP)has become the main approach for these patients.When TERCP is performed in elderly patients with pancreaticobiliary diseases,a more detailed strategy is needed in addition to active preoperative evaluation and emergency treatment of medical and surgical complications.TERCP provides a good therapy for elderly patients with pancreaticobiliary diseases,and it is simple,safe,and convenient.%我国已进入老龄化社会，高龄（≥80岁）患者日益增多，根据高龄患者胆胰疾病的特点，治疗性经内镜逆行胰胆管造影（ERCP）成为治疗高龄患者胆胰疾病的主要方法。对于高龄胆胰疾病患者行治疗性ERCP，除了术前积极评估和紧急治疗内、外科合并症外，还需要进一步细化治疗方案。治疗性ERCP的应用为高龄胰胆疾病患者提供了良好的治疗方法，使复杂的手术简单化，具有应用安全、方便灵活的特性。