ArticleWorld journal of clinical cases2020
Endoscopic retrograde cholangiopancreatography in elderly patients: Difficult cannulation and adverse events.
Article in World journal of clinical cases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 26 citations in OpenAlex.
- Difficult biliary cannulation among patients with compensated liver cirrhosis: predictors and impact on complications.Scientific reports · 2026Article
- Incidence of Cholangitis in Post-Endoscopic Retrograde Cholangiopancreatography (ERCP): A Systematic Review and Meta-Analysis.JGH open : an open access journal of gastroenterology and hepatology · 2026Review
- Safety and efficacy of primary precut techniques for biliary cannulation: a systematic review and meta-analysis.Clinical endoscopy · 2026Article
- Percutaneous transhepatic cholangioscopy-guided holmium laser lithotripsy for bile duct stones in elderly patients.PloS one · 2026Article
- Strategies for achieving successful cannulation in endoscopic retrograde cholangiopancreatography: A technical overview.World journal of gastrointestinal endoscopy · 2025Review
- Article
- Optimal timing for discontinuation of ERCP in cases of difficult selective biliary cannulation.Endoscopy international open · 2025Article
- Increased ERCP-related adverse event from premature urgent ERCP following symptom onset in acute biliary pancreatitis with cholangitis.Scientific reports · 2024Article
- Impact of frailty on endoscopic retrograde cholangiopancreatography outcomes in nonagenarians: A United States national experience.World journal of gastrointestinal endoscopy · 2024Article
- Morphology of the major duodenal papilla for the selection of advanced cannulation techniques in difficult biliary cannulation.Surgical endoscopy · 2023Article
- Predictive factors of difficult biliary cannulation: An experience of a tunisian tertiary center.Heliyon · 2022Article
- Safety of Nonagenarians Receiving Therapeutic ERCP, Single Center Experience.Journal of clinical medicine · 2022Article
- Readmissions After Biliary Acute Pancreatitis: Analysis of the Nationwide Readmissions Database.Gastroenterology research · 2022Article
- Risk factors for complications in elderly patients aged 85 years and over undergoing endoscopic biliary stone removal.Frontiers in surgery · 2022Article
- Impact of periampullary diverticulum on biliary cannulation and ERCP outcomes: a single-center experience.Surgical endoscopy · 2021Article
- Difficult Biliary Cannulation in Endoscopic Retrograde Cholangiopancreatography: Definitions, Risk Factors, and Implications.European medical journal. Hepatology · 2021Article
- Elderly patients (≥ 80 years) with acute calculous cholangitis have similar outcomes as non-elderly patients (< 80 years): Propensity score-matched analysis.World journal of hepatology · 2021Article
- Propensity score-matched analysis for comparing transpancreatic sphincterotomy and needle-knife precut in difficult biliary cannulation.Scientific reports · 2021Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEndoscopic retrograde cholangiopancreatography (ERCP) is a valuable therapeutic technique for pancreatobiliary diseases, and its application in the elderly is no longer limited. However, a higher incidence of procedure difficulty and periprocedural adverse events might be expected in elderly patients due to the presence of other medical disorders and the poor general condition of this population.
aimTo evaluate the incidence, causes, and management of difficult biliary cannulation during ERCP in elderly patients and the role of difficult cannulation as a risk factor for adverse events.
methodsA total of 614 patients who underwent ERCP during the study period were prospectively studied and divided into two groups based on their age. One hundred and forty-six patients were aged 80 years or older and 468 patients were aged less than 80 years. The primary outcome measurements were cannulation difficulty, cannulation success rate, ERCP procedure time, and related adverse events.
resultsThere was no difference in the incidence of difficult cannulation among the two groups (32.9%
conclusionAdvanced age has not been proved to be a risk factor for difficult cannulation, and secondary cannulation techniques can be safely and efficaciously utilized in this group. Patients with a Charlson Comorbidity Index ≥ 2 and difficult cannulation are associated with an increased overall adverse events rate, while age ≥ 80 years is not.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.