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Updated: Sep 18, 2025

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Published on: September 28, 2019
Is endoscopic retrograde cholangiopancreatography safe for centenarians?
Filippo Antonini1, Durante Donnarumma2, Tiziana Buono2
1Gastroenterology and Interventional Endoscopy Unit, Mazzoni Hospital AST Ascoli Piceno, Ascoli Piceno 63100, Italy. filippo.antonini@sanita.marche.it.
Abstract:
This letter aims to discuss the article, published in the recent issue of the World Journal of Gastrointestinal Endoscopy 2025. Endoscopic retrograde cholangiopancreatography (ERCP) is widely acknowledged as an effective procedure for managing biliary obstruction. However, its use in very elderly patients, particularly centenarians, presents unique challenges related to both safety and efficacy. In this report, we share our experience with three centenarian patients who underwent ERCP for biliary obstruction in our unit. Remarkably, all patients had favorable outcomes, and no significant adverse events were observed.
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