Long-term Outcomes of Therapeutic Endoscopic Retrograde Cholangiopancreatography for Choledocholithiasis in Patients ≥90 Years Old: A Multicenter Retrospective Study

Objective The safety and prognosis of complete stone removal for the treatment of choledocholithiasis in older patients are unknown. This multicenter retrospective study assessed the outcomes of complete stone removal in elderly patients (≥90 years) with respect to the prognosis. Methods We divided...

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Bibliographic Details
Published in:Internal Medicine 2021/07/01, Vol.60(13), pp.1989-1997
Main Authors: Sugimoto, Shinya, Hattori, Aiji, Maegawa, Yuri, Nakamura, Haruka, Okuda, Naoko, Takeuchi, Toshifumi, Oyamada, Jun, Kamei, Akira, Kawabata, Hiroyuki, Aoki, Masatoshi, Naota, Hiroaki
Format: Article
Language:English
Subjects:
Adverse events
Aged
Aged, 80 and over
biliary tract
Cholangiopancreatography, Endoscopic Retrograde
choledocholithiasis
Choledocholithiasis - diagnostic imaging
Choledocholithiasis - surgery
elderly
endoscopic cholangiopancreatography
Endoscopy
Female
Humans
Implants
Internal medicine
Male
Medical prognosis
Original
Prognosis
Retrospective Studies
Sphincterotomy, Endoscopic
stone removal
Survival
survival rate
Treatment Outcome
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Summary:Objective The safety and prognosis of complete stone removal for the treatment of choledocholithiasis in older patients are unknown. This multicenter retrospective study assessed the outcomes of complete stone removal in elderly patients (≥90 years) with respect to the prognosis. Methods We divided patients who underwent endoscopic cholangiopancreatography for choledocholithiasis into two groups: complete stone removal or incomplete stone removal with plastic stent insertion. The patient characteristics, adverse events, number of endoscopic cholangiopancreatographies, overall survival rates, and disease-specific cumulative death were compared between the groups. Patients Two hundred and twenty-three participants ≥90 years old were included in the study, including 48 (22%) men and 175 (78%) women. The median age was 92 (range, 90-104) years old. There were 160 (72%) and 63 (28%) patients in the complete and incomplete groups, respectively. Results The age, performance status, comorbidities, severe complication rates, and stone diameter were comparable between the groups. The proportion of patients with at least 5 stones was significantly higher in the incomplete group than in the complete group [complete group: 8.1% (13/160) and incomplete group: 21% (13/63), p
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.6478-20