Endoscopic removal of common bile duct stones in nonagenarians: a tertiary centre experience

Mustafa Jalal; Amaan Khan; Sijjad Ijaz; Mohammed Gariballa; Yasser El-Sherif; Amer Al-Joudeh

doi:10.5946/ce.2022.020

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저자정보: Mustafa Jalal (Department of Gastroenterology Northern General Hospital Sheffield UK) Amaan Khan (Department of Gastroenterology Northern General Hospital Sheffield UK) Sijjad Ijaz (Department of Gastroenterology Northern General Hospital Sheffield UK) Mohammed Gariballa (Department of Gastroenterology Northern General Hospital Sheffield UK) Yasser El-Sherif (Department of Gastroenterology Northern General Hospital Sheffield UK) Amer Al-Joudeh (Department of Gastroenterology Northern General Hospital Sheffield UK)

저널정보: 대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제56권 제1호

발행연도: 2023.1

수록면: 92 - 99 (8page)

DOI: 10.5946/ce.2022.020

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Background/Aims: There are few studies assessed the efficacy and mortality of endoscopic retrograde cholangiopancreatography(ERCP) for the removal of common bile duct (CBD) stones in the elderly aged ≥90 years. We aimed to assess the safety and efficacy ofendoscopic removal of CBD stones in nonagenarians. Methods: We retrospectively reviewed ERCP reports for CBD stone removal. The endoscopic and therapeutic outcomes were collected. The length of stay (LOS), the total number of adverse events, and mortality rate were compared between groups. Results: A total of 125 nonagenarians were compared with 1,370 controls (65–89 years old individuals). The mean LOS for nonagenarianswas significantly higher than in controls (13.6 days vs. 6.5 days). Completed intended treatment was similar in the nonagenariansand controls (89.8% and 89.5%, respectively). The overall complication rate did not differ between the groups. However, nonagenarianshad a higher incidence of post-ERCP pneumonia (3.9%). None of the nonagenarians were readmitted to the hospital within 7 days. Four nonagenarians (3.2%) and 25 (1.8%) controls died within 30 days. Conclusions: Advanced age alone did not affect the decision to perform the procedure. However, prompt diagnosis and treatment ofpost-ERCP pneumonia in nonagenarians could improve the outcomes and reduce mortality.

#Choledocholithiasis #Endoscopic retrograde cholangiopancreatography #Nonagenarians #Pneumonia

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