단일기관에서의 고령 환자에 대한 ERCP의 경험: 결과, 안전성 및 합병증

• Published in: The Korean journal of gastroenterology Vol. 58; no. 2; pp. 88 - 92
• Main Authors: 조대현, Dae Hyeon Cho, 박건태, Geon Tae Park, 오지은, Ji Eun Oh, 정창욱, Chang Wook Chung, 유길종, Gil Jong Yoo, 김성록, Sung Rok Kim, 심상군, Sang Goon Shim
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 30-08-2011
• Subjects: Complications; Elderly; Endoscopic retrograde cholangiopancreatography; Safety; 내과학
• ISSN: 1598-9992; 2233-6869

Background/Aims: As the population ages, endoscopic retrograde cholangiopancreaticography (ERCP) is being used increasingly as a diagnostic and therapeutic tool for elderly patients with pancreatobiliary disease. The aim of this study was to assess the outcomes, safety and complications associated with ERCP performed in the elderly patients. Methods: We retrospectively reviewed the medical record of 596 patients who were 50 years of age or older and underwent ERCP from January 2005 to September 2010. The patients were classified into two groups according to the age: non-elderly, 50-74 years old and elderly, ≥75 years old. Comparisons were made between two groups. Results: Five hundred and ninety-six patients (132 elderly and 464 non-elderly patients) were enrolled. The success rate of ERCP was 89.4% in the elderly and 91.9% in the non-elderly. The major complications were occurred in 11 patients of the elderly and 16 of the non-elderly, and the complication rate was significantly higher in the elderly compared to the non-elderly (8.3% vs. 3.4%, p=0.011). Pancreatitis occurred in 2 elderly patients and 10 non-elderly patients (1.5% vs. 2.1%, p=1.0). There was a higher rate of bleeding in the elderly patients (4.5% vs. 1.3%, p=0.01). Conclusions: ERCP is effective and safe even in elderly patients. Outcomes of diagnostic and therapeutic ERCP in the elderly patients were similar to those in non-elderly patients. Elderly patients undergoing ERCP carried similar risk of pancreatitis but a higher risk of bleeding and perforation compared to non-elderly patients. (Korean J Gastroenterol 2011;58:88-92)