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老年人和年轻患者之间的ERCP结果和并发症风险的比较:一项大型单中心研究

Yavuz Cagir¹, Muhammed Bahaddin Durak², Cem Simsek²

¹Department of Gastroenterology, Ankara Bilkent City Hospital, Ankara 06800, Turkey.

Journal of clinical medicine

|October 26, 2024

概括

接受内镜逆行胆血管细胞造影 (ERCP) 的老年患者有类似的并发症率,但住院时间更长. 延长管时间是老年患者的一个危险因素.

科学领域:

胃肠病学胃肠病学
内镜手术进行内镜手术
老年医学老年医学

背景情况:

透镜逆行胆瘤胆瘤学 (ERCP) 是用于胆道和胰腺疾病的常见程序.
由于与年龄相关的生理变化,对接受ERCP的老年患者评估风险和结果至关重要.

研究的目的:

为了比较ERCP在老年人 (≥75岁) 与年轻患者中的风险,并发症和临床结果.
确定接受ERCP的老年人中不良事件的特定风险因素.

主要方法:

对1164名接受胆汁ERCP的患者的回顾性评估.
在老年和年轻患者组之间比较与手术相关的并发症,风险因素和临床结果.
多变量和单变量分析以确定独立的风险因素.

主要成果:

老年患者的并发病率和周边脉冲性分泌体 (PAD) 较高.
两组之间的管成功率或并发症率没有显著差异;然而,老年人的总手术时间更长.
老年患者住院时间较长,特别是在胰腺炎等并发症后,中度/重度胰腺炎的概率更高.

结论:

在老年患者和年轻患者中,与ERCP相关的并发症率相似.
老年患者在ERCP并发症后面临长时间住院和可能更糟糕的结果.
延长管时间是75岁及以上患者ERCP的独立风险因素.

关键词:

与ERCP程序相关的并发症常见的胆道通道胆道通道年长的老人老年人老年人.内镜逆行性胆血管造机图 (cholangiopancreatography) 是一种内镜逆行式胆血管造机图.周围的分流器.

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