Abstract

PARRA, Viviana; HUERTAS Q, Margarita; BELTRAN, Johnny  and  ORTIZ, Douglas. Evaluation of the Safety of ERCP in Older Patients in the Experience of a University Hospital in Bogota. Rev Col Gastroenterol [online]. 2015, vol.30, n.2, pp.157-163. ISSN 0120-9957.

Background: Although endoscopic retrograde cholangiopancreatography (ERCP) is the method of choice for management of choledocholithiasis, there are still controversies about its safety for elderly patients. Objective: To determine whether there is increased risk of complications from ERCP in the management of choledocholithiasis in patients over 70 years valued at University Hospital Clínica San Rafael (HUCSR). Methodology: A cross-sectional analytical study that included patients admitted to the emergency department of HUCSR during the period of one year (2011-2012) with a diagnosis of choledocholithiasis was performed. The demographic, clinical and paraclinical findings and procedure were analyzed taking into account two groups of patients (older and younger than 70 years). Univariate statistical analysis was performed and bivariate. Results: A total of 171 patients were included. The presence of comorbidities (eg, diabetes and hypertension), the levels of direct bilirubin and transaminases were variables significantly associated with patients with greater than or equal to 70 years old. Procedure-related complications were presented the most frequent post-ERCP pancreatitis and post papilotomy bleeding; however, were not related to patient age. Conclusion: ERCP is safe in patients with choledocholithiasis. Age over 70 years does not increase the mortality associated with the procedure.

Keywords : Endoscopic retrograde cholangiopancreatography (ERCP); choledocholithiasis; elderly; complications.

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