Alfonso CNC, Infante VM, Ramos CJY, Guisado RY, Corujo AE, Brizuela QRA

Language: Spanish
References: 22
Page: 301-308
PDF size: 76.04 Kb.

ABSTRACT

Introduction: endoscopic retrograde cholangiopancreatography (ERCP) is a procedure that allows the minimally invasive treatment of biliopancreatic conditions.
Objectives: to describe the results of the ERCP in aged patients and to compare the symptoms and signs, reasons of indication, diagnoses, therapeutic maneuvers and complications with those of non-aged adults.
Methods: descriptive study that included 120 patients who were performed endoscopic retrograde cholangeiopancreatography at the Gastroenterology service of "Dr. Luis Díaz Soto" Military Hospital from September 2012 to December 2013. The patients were divided into two age groups and the cutoff point was 65 years. Clinical and endoscopic variables as well as complications were analyzed.
Results: no differences between symptoms and signs were found. In the elderly group, the indication of endoscopic retrograde cholangiopancreatography in view of tumor suspicion (30/120, 25 %, p=0.001) and the diagnosis of malignant distal biliary tract stenosis (23/120, 19.1 %, p=0.02) prevailed. The alkaline fosfatase values were higher in these cases (1066.3 mmol/L, p=0.05). Cholelithiasis was more common in youngsters (39/120, 32,5 %, p=0,001) who underwent sphyncterotomy more frequently (50/120, 41,6 %, p=0,05). Five percent of slight complications, of hemorrhagic type occurred in the elderly. There were no deaths.
Conclusions: this paper confirmed the value of endoscopic retrograde cholangiopancreatography as safe procedure in elderly patients that allows the curative or palliative treatment of biliopancreatic diseases.

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