Endoscopic retrograde cholangiopancreatography in nonagenarians: a decades-long experience in a single center.

摘要

Endoscopic retrograde cholangiopancrea-tography (ERCP) is considered to be safe, with a complication rate of less than 5% in the hands of experienced operators. The risk of biliary disease, including cholelithiasis and malignancy, are greater in older adults. As a cohort, older adults have been assessed and observed for the risk of complications from ERCP. Most studies have focused on older adults aged 80 and older, demonstrating that ERCP is safe in this group. A large Greek study over 3 years reviewed 600 individuals undergoing ERCP and concluded that outpatient ERCP in individuals aged 80 and older was safe and cost effective, with no significantly greater rate of complications or mortality.