ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY IN PATHOLOGYLITHIASIS: WHAT RESULTS IN PATIENTS OVER THE AGE OF 75?

Aims In front of an increasingly aging population, the ERCP raises the question of benefit in the elderly. So we set ourselves the goal of comparing ERCP results in lithiasis pathology in elderly patients respectively less and more than 75 years old.

Methods retrospectiv descreptiv and analytical stady (May 2002 to November 2018).924 patients with ERCP for a lithiasic pathology. groups: I : younger than 75 years, and II : over 75 years old. a descriptive study of the characteristics of the elderly population, and a comparative analytical study of the results between the two groups concerning the success rate and the rate of complications.

Results The group II:10.1%, age:80.17 ± 5.43 (75 to 96), sex H / F ratio 0.9. 67.3% had no surgical history significant, 28.7% were cholecystectomized, and 4% antecedent of endoscopic biliary sphincterotomy.

1.1% had acute pancreatitis and 23.7% in acute cholangitis . Radiologically, the average diameter of the VBP was 15.2 ± 4.2mm. Choledochal stones were found in 37.8%, a large calculus in 10.9% . An SBE has been performed in 94.1% . The vacuity of VBP was obtained in 61.4% in group II, compared to 78.4% in group I (p < 0.001), use of laborers additional endoscopy was 30.7% in group II, compared to 18.3% only in group I (p = 0.003). The overall success rate was 85.2% in group II, compared with 92.5% in group I (p = 0.012). The rate of early complications was 6.9% compared to 6% in group I, with no statistically significant difference (p = 0.48).

Conclusions Although the overall success rate remains better in the young patient, the results of ERCP in lithiasis pathology in the patients aged over 75 years remainsatisfactory, with no statistically significant difference in terms of complications early ERCP.