Japan Digestive Disease Week 2016
International Poster Session(JDDW)
November 4 (Fri.), 9:30–10:26, Room 16 (Kobe International Exhibition Hall No. 2 Building Hall (North) Digital Poster Session)
IP-17_G
RISK OF FAILURE AND COMPLICATIONS OF ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; COMPARISON OF ELDERLY AND YOUNG PAKISTANI PATIENTS
- 1
- Holy Family Hospital Medical Unit 1 Rawalpindi
- 2
- Agha Khan University Hospital
- 3
- Lahore General Hospital
- 4
- Shifa International Hospital
- 5
- Jinnah Hospital Lahore
- 6
- Holy Family Hospital
- 7
- Holy Family Hospital Rawalpindi
BACKGROUND:
Endoscopic Retrograde Cholangiopancreatography (ERCP) is an effective diagnostic and therapeutic procedure, widely performed in patients, irrespective of age. The objective of the study was to compare the risk of failure and procedural complications in young and elderly patients.
METHODS & MATERIALS
This cohort study was conducted at our Hospital, where all 362 patients who underwent the therapeutic or diagnostic ERCP performed, in the year 2014 were included and categorized as 276 young (aged 20-59 years) and 86 elderly (60 years and above) patients. The procedural and post procedural records of both study groups were followed up prospectively to compare the risk of failure of procedure and the complications during and after procedure. Chi square test was applied at 5% level of significance and Relative risks (RR) along with 95% confidence intervals (CI) were also determined through SPSS.
RESULTS:
Successful therapeutic intended procedures were observed in 95.08% of elderly and 97.32% of young patients. (RR of failure 0.64, CI 0.19-2.85, p value 0.47). Similarly Successful diagnostic intended procedures were performed in 88% of elderly and 91.1% of young patients. (RR of failure 1.35, CI 0.37-4.84, p value 0.64). At least one or more Procedural and post procedural complications were observed in 9.3% and 8.3% of elderly and young patients respectively (p value 0.77), where risk of complications was also observed to be the same with relative risk of 1.11 (CI 0.51-2.40)
CONCLUSION:
The success rates, risk of failure and complications of the procedure in elderly was same as that of young, providing evidence that it is an equally safe procedure for elderly too.
Endoscopic Retrograde Cholangiopancreatography (ERCP) is an effective diagnostic and therapeutic procedure, widely performed in patients, irrespective of age. The objective of the study was to compare the risk of failure and procedural complications in young and elderly patients.
METHODS & MATERIALS
This cohort study was conducted at our Hospital, where all 362 patients who underwent the therapeutic or diagnostic ERCP performed, in the year 2014 were included and categorized as 276 young (aged 20-59 years) and 86 elderly (60 years and above) patients. The procedural and post procedural records of both study groups were followed up prospectively to compare the risk of failure of procedure and the complications during and after procedure. Chi square test was applied at 5% level of significance and Relative risks (RR) along with 95% confidence intervals (CI) were also determined through SPSS.
RESULTS:
Successful therapeutic intended procedures were observed in 95.08% of elderly and 97.32% of young patients. (RR of failure 0.64, CI 0.19-2.85, p value 0.47). Similarly Successful diagnostic intended procedures were performed in 88% of elderly and 91.1% of young patients. (RR of failure 1.35, CI 0.37-4.84, p value 0.64). At least one or more Procedural and post procedural complications were observed in 9.3% and 8.3% of elderly and young patients respectively (p value 0.77), where risk of complications was also observed to be the same with relative risk of 1.11 (CI 0.51-2.40)
CONCLUSION:
The success rates, risk of failure and complications of the procedure in elderly was same as that of young, providing evidence that it is an equally safe procedure for elderly too.
- Index Term 1: Cholangiopancreatography
- Index Term 2: Endoscopic Retrograde