Endoscopy 2019; 51(04): S177
DOI: 10.1055/s-0039-1681694
ESGE Days 2019 ePoster podium presentations
Saturday, April 6, 2019 13:00 – 13:30: ERCP ePoster Podium 3
Georg Thieme Verlag KG Stuttgart · New York

COMPARISON OF EFFICACY AND SAFETY OF ERCP PROCEDURES IN PATIENTS OLDER VS. YOUNGER THAN AGE OF 80 YEARS BASED ON THE HUNGARIAN ERCP REGISTRY

Á Orbán-Szilágyi
1   Medical Centre Hungarian Defence Forces, Department of Gastroenterology, Budapest, Hungary
,
T Bakucz
1   Medical Centre Hungarian Defence Forces, Department of Gastroenterology, Budapest, Hungary
,
D Pécsi
2   University of Pécs, Institute for Translational Medicine, Medical School, Pécs, Hungary
,
S Gódi
3   University of Pécs, Division of Gastroenterology, First Department of Medicine, Pécs, Hungary
,
I Altorjay
4   University of Debrecen, Division of Gastroenterology, Second Department of Medicine, Debrecen, Hungary
,
L Czakó
5   University of Szeged, First Department of Medicine, Szeged, Hungary
,
F Pakodi
3   University of Pécs, Division of Gastroenterology, First Department of Medicine, Pécs, Hungary
,
Á Patai
6   Markusovszky University Teaching Hospital, Department of Gastroenterology and Medicine, Szombathely, Hungary
,
Z Szepes
5   University of Szeged, First Department of Medicine, Szeged, Hungary
,
P Hegyi
2   University of Pécs, Institute for Translational Medicine, Medical School, Pécs, Hungary
,
Á Vincze
3   University of Pécs, Division of Gastroenterology, First Department of Medicine, Pécs, Hungary
,
T Gyökeres
1   Medical Centre Hungarian Defence Forces, Department of Gastroenterology, Budapest, Hungary
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

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    Aims:

    Aging patients have several co-morbidities that might increase the risk of failure and complications of endoscopic retrograde cholangiopancreatography (ERCP). We have limited data on the efficacy and safety of ERCP in the elderly. In this study, we compared the success and complications of ERCPs in patients over and under the age of 80 years, based on the data of Hungarian ERCP Registry.

    Methods:

    It prospectively collects data on every major aspect (indication, cannulation, success, complications) of ERCPs performed in the contributing centers and contains a 30-day follow-up period.

    Results:

    Until now the registry contains 356 ERCPs performed in 289 patients over the age of 80 and 1459 ERCPs of 1134 patients in the younger group (mean age 85y vs. 61y). The rate of naive papilla was 66.1% vs. 66.2%. Majority of the ERCPs were performed because of biliary obstruction (36.7% vs. 35.7%), cholangitis (52.2% vs. 35.1%) and biliary stone disease (33.9% vs. 39.2%). Deep cannulation was achieved in 95.1% vs. 94.8% of all ERCPs. Complete clearance rate of (< 10 mm) biliary stone extraction was 88.1% vs. 84.3%. Success of stent implantation in subhilar biliary stenosis was 98.3% vs. 98.5%. None of these showed significant difference.

    Intraprocedural bleeding that needed endoscopic intervention was observed in 3.37% vs. 4.8% (p = 0.318). The rate of endoscopic perforation was 1.69% vs. 1.37% (p = 0.622). Pancreatitis occured in 0.84% vs. 1.85% (p = 0.24), cholangitis in 2.81% vs. 2.33% (p = 0.567) and cholecystitis in 0.28% vs. 0.75%(p = 0.480). Minor intraprocedural cardiovascular event occurred in 5.34% vs. 2.88% (p = 0.031). The 30-day mortality rate related to complications was 0.84% vs. 0.07% (p = 0.026).

    Conclusions:

    Based on our data, we can conclude that in the elderly ERCP is efficient and the rate of complications is not worse compared to the younger but the complications can potentially have a more serious outcome in the elderly.


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