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

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 expl...

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Autores principales: HYBNER, Luciano, TABUSHI, Fernando Issamu, COLLAÇO, Luis Martins, ROSA, Érika Gomes DA, ROCHA, Bruno de Faria Melquíades DA, BOCHNIA, Mateus Franzoni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Colégio Brasileiro de Cirurgia Digestiva 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8735269/
https://www.ncbi.nlm.nih.gov/pubmed/35019121
http://dx.doi.org/10.1590/0102-672020210003e1607
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author HYBNER, Luciano
TABUSHI, Fernando Issamu
COLLAÇO, Luis Martins
ROSA, Érika Gomes DA
ROCHA, Bruno de Faria Melquíades DA
BOCHNIA, Mateus Franzoni
author_facet HYBNER, Luciano
TABUSHI, Fernando Issamu
COLLAÇO, Luis Martins
ROSA, Érika Gomes DA
ROCHA, Bruno de Faria Melquíades DA
BOCHNIA, Mateus Franzoni
author_sort HYBNER, Luciano
collection PubMed
description 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 1) and >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<0.001). The placement of prostheses was the most common procedure performed in both groups, but the greatest number of patients in absolute quantity occurred in group 2. In group 1, the success in catheterization and the chance of achieving clearing of the biliary tract was significantly higher in compared to group 2 (p=0.016, OR=2.1). CONCLUSION: The success of catheterization and complete clearance of the bile duct was significantly higher in the group of young patients.
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spelling pubmed-87352692022-01-21 DOES AGE INFLUENCE IN ENDOSCOPIC THERAPEUTIC SUCCESS ON THE BILIARY TRACT? HYBNER, Luciano TABUSHI, Fernando Issamu COLLAÇO, Luis Martins ROSA, Érika Gomes DA ROCHA, Bruno de Faria Melquíades DA BOCHNIA, Mateus Franzoni Arq Bras Cir Dig Original Article 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 1) and >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<0.001). The placement of prostheses was the most common procedure performed in both groups, but the greatest number of patients in absolute quantity occurred in group 2. In group 1, the success in catheterization and the chance of achieving clearing of the biliary tract was significantly higher in compared to group 2 (p=0.016, OR=2.1). CONCLUSION: The success of catheterization and complete clearance of the bile duct was significantly higher in the group of young patients. Colégio Brasileiro de Cirurgia Digestiva 2022-01-05 /pmc/articles/PMC8735269/ /pubmed/35019121 http://dx.doi.org/10.1590/0102-672020210003e1607 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Article
HYBNER, Luciano
TABUSHI, Fernando Issamu
COLLAÇO, Luis Martins
ROSA, Érika Gomes DA
ROCHA, Bruno de Faria Melquíades DA
BOCHNIA, Mateus Franzoni
DOES AGE INFLUENCE IN ENDOSCOPIC THERAPEUTIC SUCCESS ON THE BILIARY TRACT?
title DOES AGE INFLUENCE IN ENDOSCOPIC THERAPEUTIC SUCCESS ON THE BILIARY TRACT?
title_full DOES AGE INFLUENCE IN ENDOSCOPIC THERAPEUTIC SUCCESS ON THE BILIARY TRACT?
title_fullStr DOES AGE INFLUENCE IN ENDOSCOPIC THERAPEUTIC SUCCESS ON THE BILIARY TRACT?
title_full_unstemmed DOES AGE INFLUENCE IN ENDOSCOPIC THERAPEUTIC SUCCESS ON THE BILIARY TRACT?
title_short DOES AGE INFLUENCE IN ENDOSCOPIC THERAPEUTIC SUCCESS ON THE BILIARY TRACT?
title_sort does age influence in endoscopic therapeutic success on the biliary tract?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8735269/
https://www.ncbi.nlm.nih.gov/pubmed/35019121
http://dx.doi.org/10.1590/0102-672020210003e1607
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