Although an increasing proportion of the Western population survives to an advanced age, there is little data on the outcome of therapeutic ERCP in elderly patients with severe acute cholangitis.
In this study, physicians from Hong Kong, China, determined the relative frequency of post-ERCP complication in patients over 90 years of age.
The team compared the post-ERCP complications of 64 patients aged ≥90 years (group 1) with severe acute cholangitis with 165 patients aged < 90 years (group 2).
The physicians found that the post-ERCP complication rate was 5% in group 1 and 7% in group 2. This difference was not significant.
|The team assessed post-ERCP complications in 64 patients aged ≥90.|
|Alimentary Pharmacology and Therapeutics|
The team also calculated the relative frequency of 30-day mortality. This was 8% in group 1 and 4% in group 2. This was also not significant.
Dr Hui and colleagues concluded, "Urgent biliary decompression with ERCP in patients 90 years of age and older with severe acute cholangitis is a safe and effective procedure".
And, "Is not associated with increased morbidity or mortality even in this group of high risk patients".