Clinical Endoscopy

Original Articles

Endoscopic Retrograde Cholangiopancreatography in Nonagenarian Patients: Is It Really Safe?: Zain A Sobani, Daria Yunina, Anna Abbasi, Kevin Tin, Daniel Simkin, Mary Rojas, Yuriy Tsirlin, Ira Mayer, Rabin Rahmani; Clin Endosc 2018;51(4):375-380. Published online September 18, 2017; DOI: https://doi.org/10.5946/ce.2017.123

Background
/Aims: Literature on the safety of endoscopic retrograde cholangiopancreatography (ERCP) in elderly patients is divided. Based on this we decided to examine the safety of ERCP in nonagenarian patients. Methods: A total of 1,389 patients, with a mean age of 63.94±19.62 years, underwent ERCP during the study period. There were 74 patients aged 90 years or older with a mean age of 92.07±1.8. Logistic regression showed that nonagenarian patients had a significantly increased odds of in-patient mortality (adjusted odds ratio [AOR]=9.6; 95% confidence interval [CI]=4, 23; p≤0.001). Charlson Comorbidity Index (CCI) ≥2 was also an independent predictor of in-patient mortality (AOR=2.4; 95% CI=1.2, 5.2; p=0.021). Age ≥90 was not associated with increased adverse events; however emergency procedures (AOR=2.4; 95% CI=1.5, 4; p<0.001) and CCI ≥2 (AOR=2.6; 95% CI=1.7, 4.0; p<0.001) were more likely to have adverse events. Conclusions: Age ≥90 and CCI ≥2 are independently associated with increased odds of in-patient mortality in patients undergoing ERCP, whereas emergency procedures and CCI ≥2 are associated with an increased adverse event rate. Caution must be exercised when considering ERCP in patients aged ≥90 years and those with a CCI ≥2

Citations

Citations to this article as recorded by

Impact of frailty on endoscopic retrograde cholangiopancreatography outcomes in nonagenarians: A United States national experience
Sanket Dhirubhai Basida, Dushyant Singh Dahiya, Muhammad Nadeem Yousaf, Brinda Basida, Bhanu Siva Mohan Pinnam, Manesh Kumar Gangwani, Hassam Ali, Sahib Singh, Yash R Shah, Daksh Ahluwalia, Mihir Prakash Shah, Saurabh Chandan, Neil R Sharma, Shyam Thakkar
World Journal of Gastrointestinal Endoscopy.2024; 16(3): 148. CrossRef
Racial disparities in endoscopic retrograde cholangiopancreatography (ERCP) utilization in the United States: are we getting better?
Dushyant Singh Dahiya, Abhilash Perisetti, Neil Sharma, Sumant Inamdar, Hemant Goyal, Amandeep Singh, Laura Rotundo, Rajat Garg, Chin-I Cheng, Sailaja Pisipati, Mohammad Al-Haddad, Madhusudhan Sanaka
Surgical Endoscopy.2023; 37(1): 421. CrossRef
Endoscopic removal of common bile duct stones in nonagenarians: a tertiary centre experience
Mustafa Jalal, Amaan Khan, Sijjad Ijaz, Mohammed Gariballa, Yasser El-Sherif, Amer Al-Joudeh
Clinical Endoscopy.2023; 56(1): 92. CrossRef
ERCP in patients over 90 years old: Safety and efficacy comparison with a younger cohort
Ana E Colmenero Gargari, Fernando E Melgar Somoza, Jorge Vera, Carlos G Micames
Endoscopy International Open.2023; 11(09): E893. CrossRef
ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY FOR THE MANAGEMENT OF CHOLEDOCHOLITHIASIS IN OLDER PATIENTS
Júlia Gardenyes, Pere Roura, Helena Vallverdú-Cartie, Judit Hermoso-Bosch, Cl�udia Roca, Mariona Espaulella, Antoni Casals, Héctor Ivo Marani, Joan Saló, Martín Galdín, Marta Gallach, Carles Leal
Revista Española de Enfermedades Digestivas.2023;[Epub] CrossRef
Safety and Efficacy of Endoscopic Retrograde Cholangiopancreatography in Nonagenarians: A Systematic Review and Meta-Analysis
Umair Iqbal, Hafsa Anwar, Muhammad Ali Khan, Simcha Weissman, Shivangi T. Kothari, Truptesh H. Kothari, Bradley D. Confer, Harshit S. Khara
Digestive Diseases and Sciences.2022; 67(4): 1352. CrossRef
Safety of Nonagenarians Receiving Therapeutic ERCP, Single Center Experience
Chia-Chang Chen, Wan-Tzu Lin, Chun-Fang Tung, Shou-Wu Lee, Chi-Sen Chang, Yen-Chun Peng
Journal of Clinical Medicine.2022; 11(17): 5197. CrossRef
Long-term Outcomes of Therapeutic Endoscopic Retrograde Cholangiopancreatography for Choledocholithiasis in Patients ≥90 Years Old: A Multicenter Retrospective Study
Shinya Sugimoto, Aiji Hattori, Yuri Maegawa, Haruka Nakamura, Naoko Okuda, Toshifumi Takeuchi, Jun Oyamada, Akira Kamei, Hiroyuki Kawabata, Masatoshi Aoki, Hiroaki Naota
Internal Medicine.2021; 60(13): 1989. CrossRef
Complications of common bile duct stones: A risk factors analysis
Dong Jun Oh, Ji Hyung Nam, Dong Kee Jang, Jun Kyu Lee
Hepatobiliary & Pancreatic Diseases International.2021; 20(4): 361. CrossRef
Is complete stone removal for choledocholithiasis always necessary in extremely elderly patients?
Naoko Okuda, Shinya Sugimoto, Haruka Nakamura, Hirohisa Hisada, Taishi Temma, Yuki Hashimoto, Satoshi Hayashi, Tatsuya Ito, Mayuko Takami, Jun Oyamada, Akira Kamei
JGH Open.2020; 4(1): 16. CrossRef
The efficacy and safety of one-stage endoscopic treatment for ascending acute cholangitis caused by choledocholithiasis with severe comorbidities
Xiaoping Zhang, Guiqin Li, Liang Pan, Yue Chen, Ruihua Shi, Wei Xu, Kun Zhou, Yajun Cheng, Yadong Feng, Aijun Zhou, Kai Zhao
Surgical Endoscopy.2020; 34(9): 3963. CrossRef
The efficacy and safety of colonoscopy in nonagenarians: A multicenter study
Yoshikazu Inagaki, Naohisa Yoshida, Daisuke Hasegawa, Kyoichi Kassai, Ritsu Yasuda, Ken Inoue, Ryohei Hirose, Osamu Dohi, Takashi Okuda, Yutaka Inada, Kotaro Okuda, Kiyoshi Ogiso, Akira Tomie, Koichi Soga, Takaaki Murakami, Yoshito Itoh
Indian Journal of Gastroenterology.2020; 39(6): 557. CrossRef
Risk factors of adverse events in endoscopic retrograde cholangiopancreatography for patients aged ≥85 years
Koji Takahashi, Toshio Tsuyuguchi, Harutoshi Sugiyama, Junichiro Kumagai, Masato Nakamura, Yotaro Iino, Ayako Shingyoji, Mutsumi Yamato, Hiroshi Ohyama, Yuko Kusakabe, Shin Yasui, Rintaro Mikata, Naoya Kato
Geriatrics & Gerontology International.2018; 18(7): 1038. CrossRef
Age is Important, but Patient Status is also Important in Endoscopic Retrograde Cholangiopancreatography
Dong Wook Lee, Ho Gak Kim
Clinical Endoscopy.2018; 51(4): 315. CrossRef

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Safety of Percutaneous Endoscopic Gastrostomy Tubes in Centenarian Patients: Zain A Sobani, Kevin Tin, Steven Guttmann, Anna A Abbasi, Ira Mayer, Yuriy Tsirlin; Clin Endosc 2018;51(1):56-60. Published online July 21, 2017; DOI: https://doi.org/10.5946/ce.2017.059

Abstract PDF PubReader ePub

Background
/Aims: Percutaneous endoscopic gastrostomy (PEG) is a relatively safe procedure; however, no study has evaluated the safety of PEG tube placement in patients over the age of 100 years.
Methods
We conducted a retrospective review of patient records for patients who underwent PEG tube placement. Thirty patients aged 100 years and older were identified and a random sample of 275 patients was selected for comparison.
Results
The mean age of the patients was 80.6±16.2 years. No procedure-related deaths or major complications were identified; the overall inpatient mortality rate was 7.6%. Minor complications were noted in 4% (n=12) of the patients. Centenarian patients were predominantly female (80% [n=24] vs. 54% [n=147], p=0.006), with a mean age of 100.5±0.9 years. There was no significant difference in procedural success rates (93.3% vs. 97.4%, p=0.222) or inpatient mortality (6.7% [n=2] vs. 7.7% [n=21], p=1.000) between the two groups. However, a higher minor complication rate was noted in the older patients (13.3% [n=4] vs. 2.9% [n=8], p=0.022).
Conclusions
Success rates, major complications and inpatient mortality associated with PEG tubes in patients aged over 100 years are comparable to those observed in relatively younger patients at our center; however minor complication rates are relatively higher. These findings lead us to believe that PEG tubes may be safely attempted in carefully selected patients in this subset of the population.

Citations

Citations to this article as recorded by

In-hospital, 30- and 90-day mortality in elderly trauma patients with operative feeding tubes
Derek R. Marlor, Khaled M. Taghlabi, Anneliese N. Hierl, Maxwell C. Braasch, Robert D. Winfield
The American Journal of Surgery.2023; 225(4): 758. CrossRef
Comparison Between Geriatric and Non-geriatric Patients in the Development of Complications After Percutaneous Endoscopic Gastrostomy
Cem Azılı, Harun Karabacak, Şener Balas, Muhammed Apaydın, Selim Tamam, Serdar Çulcu, Ahmet Oğuz Hasdemir
European Journal of Geriatrics and Gerontology.2023; 5(2): 144. CrossRef
Long‐term prognosis of enteral feeding and parenteral nutrition in a population aged 75 years and older: a population‐based cohort study
Yukio Tsugihashi, Manabu Akahane, Yasuhiro Nakanishi, Tomoya Myojin, Shinichiro Kubo, Yuichi Nishioka, Tatsuya Noda, Shuichiro Hayashi, Shiori Furihata, Tsuneyuki Higashino, Tomoaki Imamura
BMC Geriatrics.2021;[Epub] CrossRef
Percutaneous Transesophageal Gastro‐Tubing as an Alternative Procedure of Levodopa Administration in Parkinson's Disease
Noriyuki Miyaue, Hayato Yabe, Masahiro Nagai, Masahiro Nomoto
Movement Disorders Clinical Practice.2020; 7(6): 730. CrossRef
Analyzing functional status and its correlates in Chinese centenarians: A cross‐sectional study
Zhaoyong Huang, Yuzhu Chen, Weiwen Zhou, Xiaopeng Li, Qiulan Qin, Yunqing Fei, Xinqi Dong, Fang Yu
Nursing & Health Sciences.2020; 22(3): 639. CrossRef
Percutaneous endoscopic gastrostomy for enteral nutrition: a 5-year clinical experience with 324 patients
Ezekiel W. Toh Yoon, Kaori Yoneda, Kazuki Nishihara
Minerva Gastroenterologica e Dietologica.2019;[Epub] CrossRef
RISK FACTORS ASSOCIATED WITH EARLY MORTALITY AFTER PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN PATIENTS AT A TERTIARY CARE CENTER IN BRAZIL: A RETROSPECTIVE SINGLE-CENTER SURVIVAL STUDY
Luiz Eduardo MIRANDA, Marcel Rolland Ciro da PENHA, Ana Clara Galindo MIRANDA, Diego Laurentino LIMA, Matheus Wanderly Fernandes COSTA, Alexandre de Oliveira AMORIM
Arquivos de Gastroenterologia.2019; 56(4): 412. CrossRef
Is Percutaneous Endoscopic Gastrostomy Acceptable in Centenarian Patients?
Cheol Min Shin, Dong Ho Lee
Clinical Endoscopy.2018; 51(1): 1. CrossRef

6,289 View
182 Download
20 Web of Science
8 Crossref

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