Are complications of endoscopic sphincterotomy age related?
View abstract on PubMed
Summary
This summary is machine-generated.Short-term complications after endoscopic sphincterotomy (ES) are not age-related. Younger patients undergoing laparoscopic cholecystectomy can safely undergo ES without increased risk compared to older patients.
Area Of Science
- Gastroenterology
- Endoscopic Procedures
- Surgical Safety
Background
- Endoscopic retrograde cholangiopancreatography sphincterotomy (ES) is increasingly performed in younger patients undergoing laparoscopic cholecystectomy.
- The safety of ES in younger patient populations relative to older patients remains unclear.
Purpose Of The Study
- To determine if short-term complications following ES are associated with patient age.
Main Methods
- A prospective multicenter audit of 1000 ES procedures in 958 patients (age range 14-97 years).
- Complications were recorded and analyzed based on patient age groups.
Main Results
- Overall complication rate was 2.4% (24/1000), with 2 deaths (0.2%) from post-ES pancreatitis.
- Patients under 65 years had a complication rate of 2.2% (6/281), while those over 65 had a rate of 2.6% (18/677).
- No statistically significant age-related increase in complication risk was observed (RR 0.83 for <65 vs >65 years, p=0.74).
Conclusions
- Short-term complications following ES are not significantly related to patient age.
- Younger patients, including those undergoing laparoscopic cholecystectomy, should not be denied ES due to age-related safety concerns.
- ES is a safe procedure across a wide age range, comparable to surgical exploration of the common bile duct.