90岁以上患者的ERCP:与年轻人队列的安全性和有效性比较
Ana E Colmenero Gargari1, Fernando E Melgar Somoza1, Jorge Vera1
1Family Medicine, Bella Vista Hospital, Mayaguez, Puerto Rico.
Endoscopy international open
|October 9, 2023
概括
内镜逆行胆血管细胞造影 (ERCP) 对于90岁及以上的患者来说是安全有效的. 高龄不是不良事件的风险因素,使ERCP成为非老年人的可行选择.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 老年医学 老年医学
背景情况:
- 预期寿命的增加导致老年人患上胆道和胰腺疾病的患病率更高.
- 在老年人群中,对像ERCP这样的侵入性手术的需求正在增加.
- 关于90岁以上患者的ERCP安全性的数据有限.
研究的目的:
- 评估ERCP在90岁及以上患者的技术成功和不良事件.
- 为了比较非老年人与年轻人队列中的ERCP结果.
- 为了确定晚年是否是ERCP的禁忌.
主要方法:
- 对2012年至2018年期间执行的ERCP程序的回顾性分析.
- 在90岁以上的患者中包括28个ERCP,在90岁以下的患者中包括300个ERCP.
- 技术成功率和围绕程序和ERCP后不良事件的比较.
主要成果:
- 在这两组中,ERCP技术成功率高且相似 (90+的96.4%,90+的96.3%).
- 没有观察到周围程序不良事件的显著差异.
- 在年轻人队列中,ERCP后的AE略高 (7.1%对3.0%),但在统计学上并不显著.
结论:
- 对于非老年患者来说,ERCP是一种安全有效的程序.
- 高龄 (90岁以上) 不应被认为是ERCP相关不良事件的独立风险因素.
- 在非常老年人中,ERCP是胆道和胰腺疾病的可行的治疗选择.
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