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
2011 Impact Factor: 3.769
2011 SCImago Journal Rankings: 0.338
DOIhttp://dx.doi.org/10.1111/j.1365-2036.2004.01962.x
ReferencesReferences in Scopus
DC Field
Value
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
2011 Impact Factor: 3.769
2011 SCImago Journal Rankings: 0.338
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
Author Affiliations
  1. The University of Hong Kong
  2. Queen Mary Hospital Hong Kong