DOES AGE INFLUENCE IN ENDOSCOPIC THERAPEUTIC SUCCESS ON THE BILIARY TRACT?

• Published in: Arquivos brasileiros de cirurgia digestiva : ABCD 2021-01, Vol.34 (3)
• Main Authors: HYBNER, Luciano, TABUSHI, Fernando Issamu, COLLAÇO, Luis Martins, ROSA, Érika Gomes DA, ROCHA, Bruno de Faria Melquíades DA, BOCHNIA, Mateus Franzoni
• Format: Article
• Language: English
• Subjects: Biliary Ducts; Endoscopic retrograde cholangiopancreatography; Endoscopy; Original
• ISSN: 0102-6720; 2317-6326
• DOI: 10.1590/0102-672020210003e1607

ABSTRACT Background: Retrograde endoscopic cholangiopancreatography (ERCP) effectively treats biliary and pancreatic disorders. Its indications are limited and precise, since its misuse delays adequate treatment, increases costs and to patient´s adverse events. Aim: To compare clinical, radiological and exploratory characteristics in relation to therapeutic success in patients undergoing ERCP in relation to age. Method: 421 patients who underwent the method were retrospectively studied; those who were not able to access the duodenal papilla were excluded. The patients were divided into two age groups: 60 years (group 2), and the variables of gender, examination indications, radiological findings, therapeutic success, diagnosis and the occurrence of immediate adverse events were analyzed. Results: 177 patients were allocated to group 1 and 235 to group 2. The main indication found in both groups was choledocholithiasis. In group 2, the number of cases of acute cholangitis (p=0.001), biliary stenosis (p=0.002) and papilla cancer (p=0.046) was higher. In this group, urgent indication for ERCP was higher (p=0.042), as well as the diagnosis of biliary tract dilatation (p