ERCP in octogenerians: A safe and efficient investigation

Age and Ageing

Volumn 37, Issue 5, 2008, Pages 595-599

  Riphaus, Andrea ^a   Stergiou, Nikos ^a   Wehrmann, Till ^a  

^a HANNOVER MEDICAL SCHOOL   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ADRENALIN; MIDAZOLAM MALEATE; PETHIDINE; PROPOFOL;

AGED; BILE DUCT OBSTRUCTION; BILE LEAKAGE; BRADYCARDIA; CHOLANGITIS; COMBINATION CHEMOTHERAPY; CONTROLLED STUDY; ELDERLY CARE; ENDOSCOPIC ECHOGRAPHY; ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; FEMALE; HEART ATRIUM FIBRILLATION; HEMOBILIA; HUMAN; HYPOTENSION; HYPOXEMIA; INDUCED HYPOTENSION; LETTER; MAJOR CLINICAL STUDY; MALE; MONOTHERAPY; OXYGEN SATURATION; PANCREATITIS; PATIENT SAFETY; PERIOPERATIVE COMPLICATION; POSTOPERATIVE COMPLICATION; POSTOPERATIVE HEMORRHAGE; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; SEDATION; SIDE EFFECT; SURGICAL TECHNIQUE; TREATMENT RESPONSE;

ADULT; AGE FACTORS; AGED; AGED, 80 AND OVER; BILE DUCT DISEASES; CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE; FEMALE; HEALTH SERVICES FOR THE AGED; HUMANS; HYPNOTICS AND SEDATIVES; MALE; MIDDLE AGED; PATIENT SELECTION; PROSPECTIVE STUDIES; TREATMENT OUTCOME;

EID: 51749098423     PISSN: 00020729     EISSN: 14682834     Source Type: Journal    
DOI: 10.1093/ageing/afn119     Document Type: Letter

References (23)

1. World Health Organisation. World Health Report 2003.
2. Trias M, Targarona EM, Ros E et al. Prospective evaluation of a minimally invasive approach for treatment of bile-duct calculi in the high-risk patient. Surg Endosc 1997; 11: 632-5.
3. Burtin B, Bour B, Charlois T et al. Colonic investigations in the elderly: Colonoscopy or barium enema? Aging 1995; 7: 190-4.
4. Bergmann JJ, Rauwes EA, Tijssen JG et al. Biliary endoprotheses in elderly patients with endoscopically irretrievable common bile duct stones: A report on 117 patients. Gastrointest Endosc 1995; 42: 195-201.
5. Solomon SA, Isaac T, Banerjee AK. Oxygen desaturation during endoscopy in the elderly (comment). J R Coll Physicians Lond 1993; 27: 200.
6. Rodriguez-Gonzalez FJ, Naranjo-Rodriguez A, Mata-Tapia I et al. ERCP in patients 90 years of age and older. Gastrointest Endosc 2003; 58: 220-5.
7. Fritz E, Kirchgatterer A, Hubner D et al. ERCP is safe and effective in patients 80 years of age and older compared with younger patients. Gastrointest Endosc 2006; 64: 899-905.
8. Owens WD, Felts JA, Spitznagel EL. ASA physical status classifications. Anaesthesiology 1978; 49: 239-43.
9. Cotton PB, Lehmann G, Vennes J et al. Endoscopic sphincterotomy complications and their management: An attempt at consensus. Gastrointest Endosc 1991; 37: 383-93.
10. Clarke GA, Jacobson BC, Hammett RJ et al. The indications, utilization and safety of gastrointestinal endoscopy in an extremely elderly patient cohort. Endoscopy 2001; 33: 580-4.
11. Ashton CE, McNabb WR, Wilkinson ML et al. Endoscopic retrograde cholangiopancreatography in the elderly patients. Age Ageing 1998; 27: 683-8.
12. MacMahon M, Walsh TN, Brennan P et al. Endoscopic retrograde cholangiopancreatography in the elderly: A single unit audit. Gerontology 1993; 39: 28-32.
13. Sugiyama M, Atomi Y. Endoscopic sphincterotomy for bile duct stones in patients 90 years of age and older. Gastrointest Endosc 2000; 52: 187-91.
14. Portwood G, Manitis A, Jowell PS et al. Diagnostic and therapeutic ERCP in the very old; safe with a high success rate [abstract]. Gastrointest Endosc 1995; 41: 411.
15. Katsinelos P, Paroutoglou G, Kountouras J et al. Effecacy and safety of therapeutic ERCP in patients 90 years of age and older. Gastrointest Endosc 2006; 63: 417-22.
16. Hui CK, Liu CL, Lai KC et al. Outcome of emergency ERCP for acute cholangitis in patients 90 years of age and older. Aliment Pharmacol Ther 2004; 19: 1153-8.
17. Mitchell RM, O'Connor F, Dickey W. Endoscopic retrograde cholangiopancreatography is safe and effective in patients 90 years of age or older. J Clin Gastroenterol 2003; 36: 72-4.
18. Riphaus A, Stergiou N, Wehrmann T. Sedation with propofol for routine ERCP in high-risk octogenarians: A randomized, controlled study. Am J Gastroenterol 2005; 100: 1957-63.
19. Heuss LT, Schnieper P, Drewe J et al. Safety of propofol for conscious sedation during endoscopic procedures in high-risk patients-a prospective, controlled study. Am J Gastroenterol 2003; 98: 1751-7.
20. Deans GT, Sedman P, Martin DF et al. Are complications of sphinterotomy age related? Gut 1997; 41: 545-8.
21. Loperfido S, Angelini G, Benedetti G et al. Major early complications from diagnostic and therapeutic ERCP: A prospective multicenter study. Gastrointest Endosc 1998; 48: 1-10.
22. Laugier R, Bernard JP, Berthezene P et al. Changes in pancreatic exocrine secretion with age: Pancreatic exocrine secretion does decrease in the elderly. Digestion 1991; 50: 202-11.
23. Froehlich F, Thorens J, Schwizer W et al. Sedation and analgesia for colonoscopy: Patient tolerance, pain, and cardiorespiratory parameters. Gastrointest Endosc 1997; 45: 1-9.