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Article: Outcome of emergency ERCP for acute cholangitis in patients 90 years of age and older
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TitleOutcome of emergency ERCP for acute cholangitis in patients 90 years of age and older
 
AuthorsHui, CK1
Liu, CL1
Lai, KC1
Chan, SC1
Hu, WHC1
Wong, WM1
Cheung, WW1
Ng, M1
Yuen, MF1
Chan, AO1
Lo, CM1
Fan, ST1
Wong, BCY1 2
 
Issue Date2004
 
PublisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/APT
 
CitationAlimentary Pharmacology And Therapeutics, 2004, v. 19 n. 11, p. 1153-1158 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1365-2036.2004.01962.x
 
AbstractBackground: An increasing proportion of the general population across the Western World now survives to an advanced age. However, there is limited data on the outcome of therapeutic endoscopic retrograde cholangiopancreatography in patients above 90 years of age with severe acute cholangitis. Aim: To determine the relative frequency of postendoscopic retrograde cholangiopancreatography complication in this group of patients. Methods: The postendoscopic retrograde cholangiopancreatography complications related outcome of 64 patients aged 90 years and above (Group 1) with severe acute cholangitis were retrospectively compared with 165 patients under the age of 90 years (Group 2). Results: The postendoscopic retrograde cholangiopancreatography complication rate was 4.7% (three patients) in Group 1 and 7.3% (12 patients) in Group 2. There was no significant difference in the postendoscopic retrograde cholangiopancreatography complication rate between the two groups (P = 0.567). The relative frequency of 30-day mortality was 7.8% (five patients) in Group 1 and 4.2% (seven patients) in Group 2 (P = 0.227). Conclusion: Urgent biliary decompression with endoscopic retrograde cholangiopancreatography in patients 90 years of age and older with severe acute cholangitis is a safe and effective procedure in the hands of highly skilled endoscopists and is not associated with increased morbidity or mortality even in this group of high risk patients.
 
ISSN0269-2813
2013 Impact Factor: 5.478
2013 SCImago Journal Rankings: 2.609
 
DOIhttp://dx.doi.org/10.1111/j.1365-2036.2004.01962.x
 
ISI Accession Number IDWOS:000221532600003
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorHui, CK
 
dc.contributor.authorLiu, CL
 
dc.contributor.authorLai, KC
 
dc.contributor.authorChan, SC
 
dc.contributor.authorHu, WHC
 
dc.contributor.authorWong, WM
 
dc.contributor.authorCheung, WW
 
dc.contributor.authorNg, M
 
dc.contributor.authorYuen, MF
 
dc.contributor.authorChan, AO
 
dc.contributor.authorLo, CM
 
dc.contributor.authorFan, ST
 
dc.contributor.authorWong, BCY
 
dc.date.accessioned2010-09-06T07:26:39Z
 
dc.date.available2010-09-06T07:26:39Z
 
dc.date.issued2004
 
dc.description.abstractBackground: An increasing proportion of the general population across the Western World now survives to an advanced age. However, there is limited data on the outcome of therapeutic endoscopic retrograde cholangiopancreatography in patients above 90 years of age with severe acute cholangitis. Aim: To determine the relative frequency of postendoscopic retrograde cholangiopancreatography complication in this group of patients. Methods: The postendoscopic retrograde cholangiopancreatography complications related outcome of 64 patients aged 90 years and above (Group 1) with severe acute cholangitis were retrospectively compared with 165 patients under the age of 90 years (Group 2). Results: The postendoscopic retrograde cholangiopancreatography complication rate was 4.7% (three patients) in Group 1 and 7.3% (12 patients) in Group 2. There was no significant difference in the postendoscopic retrograde cholangiopancreatography complication rate between the two groups (P = 0.567). The relative frequency of 30-day mortality was 7.8% (five patients) in Group 1 and 4.2% (seven patients) in Group 2 (P = 0.227). Conclusion: Urgent biliary decompression with endoscopic retrograde cholangiopancreatography in patients 90 years of age and older with severe acute cholangitis is a safe and effective procedure in the hands of highly skilled endoscopists and is not associated with increased morbidity or mortality even in this group of high risk patients.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationAlimentary Pharmacology And Therapeutics, 2004, v. 19 n. 11, p. 1153-1158 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1365-2036.2004.01962.x
 
dc.identifier.doihttp://dx.doi.org/10.1111/j.1365-2036.2004.01962.x
 
dc.identifier.epage1158
 
dc.identifier.hkuros86302
 
dc.identifier.isiWOS:000221532600003
 
dc.identifier.issn0269-2813
2013 Impact Factor: 5.478
2013 SCImago Journal Rankings: 2.609
 
dc.identifier.issue11
 
dc.identifier.openurl
 
dc.identifier.pmid15153168
 
dc.identifier.scopuseid_2-s2.0-2942544150
 
dc.identifier.spage1153
 
dc.identifier.urihttp://hdl.handle.net/10722/76949
 
dc.identifier.volume19
 
dc.languageeng
 
dc.publisherBlackwell Publishing Ltd. The Journal's web site is located at http://www.blackwellpublishing.com/journals/APT
 
dc.publisher.placeUnited Kingdom
 
dc.relation.ispartofAlimentary Pharmacology and Therapeutics
 
dc.relation.referencesReferences in Scopus
 
dc.rightsAlimentary Pharmacology and Therapeutics. Copyright © Blackwell Publishing Ltd.
 
dc.subject.meshAcute Disease
 
dc.subject.meshCholangiopancreatography, Endoscopic Retrograde - methods - mortality
 
dc.subject.meshCholangitis - mortality - therapy
 
dc.subject.meshEmergencies
 
dc.subject.meshFemale
 
dc.subject.meshHumans
 
dc.subject.meshMale
 
dc.subject.meshRetreatment
 
dc.subject.meshRetrospective Studies
 
dc.subject.meshTreatment Outcome
 
dc.titleOutcome of emergency ERCP for acute cholangitis in patients 90 years of age and older
 
dc.typeArticle
 
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<contributor.author>Hu, WHC</contributor.author>
<contributor.author>Wong, WM</contributor.author>
<contributor.author>Cheung, WW</contributor.author>
<contributor.author>Ng, M</contributor.author>
<contributor.author>Yuen, MF</contributor.author>
<contributor.author>Chan, AO</contributor.author>
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Author Affiliations
  1. The University of Hong Kong
  2. Queen Mary Hospital Hong Kong