Evidence map›Paper›PMID 41025009›Full record

ArticleWorld journal of gastroenterology2025

Endoscopic retrograde cholangiopancreatography in elderly patients: Is age just a number or something more?

Theodoros A Voulgaris, George Tribonias, Ioannis S Papanikolaou, Georgios P Karamanolis, Ioannis A Vezakis, Aspasia Louta, Orfeas Petros Varvarelis, Leonidas Chardalias, Andreas Polydorou, Antonios Vezakis

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Bile Leak: Is There Optimal Timing for Endoscopy?Medicina (Kaunas, Lithuania) · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Theodoros A VoulgarisDepartment of Endoscopy, Second Academic Surgical Unit, National and Kapodistrian University of Athens, Aretaieion Hospital, Athens 11528, Greece.
George TriboniasDepartment of Gastroenterology, Red Cross Hospital, Athens 11526, Attikí, Greece.
Ioannis S PapanikolaouHepatogastroenterology Unit, Department of Second Internal Medicine-Propaedeutic, National and Kapodistrian University of Athens, "Attikon" University General Hospital, Athens 12462, Greece.
Georgios P KaramanolisDepartment of Endoscopy, Second Academic Surgical Unit, National and Kapodistrian University of Athens, Aretaieion Hospital, Athens 11528, Greece.
Ioannis A VezakisBiomedical Engineering Laboratory, School of Electrical and Computer Engineering, National Technical University of Athens, Zografou Polytechnic Campus, Athens 15772, Attikí, Greece.
Aspasia LoutaDepartment of Endoscopy, Second Academic Surgical Unit, National and Kapodistrian University of Athens, Aretaieion Hospital, Athens 11528, Greece.
Orfeas Petros VarvarelisDepartment of Endoscopy, Second Academic Surgical Unit, National and Kapodistrian University of Athens, Aretaieion Hospital, Athens 11528, Greece.
Leonidas ChardaliasDepartment of Endoscopy, Second Academic Surgical Unit, National and Kapodistrian University of Athens, Aretaieion Hospital, Athens 11528, Greece.
Andreas PolydorouDepartment of Endoscopy, Second Academic Surgical Unit, National and Kapodistrian University of Athens, Aretaieion Hospital, Athens 11528, Greece.
Antonios VezakisDepartment of Endoscopy, Second Academic Surgical Unit, National and Kapodistrian University of Athens, Aretaieion Hospital, Athens 11528, Greece. avezakis@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData suggest that elderly patients may have a lower risk of complications after endoscopic retrograde cholangiopancreatography (ERCP), especially post-ERCP pancreatitis (PEP).

aimTo validate these findings in a large, real-world clinical setting.

methodsClinical, epidemiological, and procedural data collected from a prospectively maintained database were gathered over a 20-year period (2001-2021) from consecutive patients undergoing their first ERCP. Patients were grouped based on age: < 80 years and ≥ 80 years.

resultsA total of 3147 patients were included in the study, with 70.3% < 80 years old and 28.7% ≥ 80 years. The most common indication for ERCP was biliary colic with or without elevated liver enzymes (39.6%). Periampullary diverticula were more frequently observed in elderly patients (

conclusionOur findings highlight that elderly patients do not experience higher complication rates or lower success rates with ERCP, supporting the procedure's safety and efficacy in this population.

Indexed as

Cholangiopancreatography, Endoscopic RetrogradePancreatitisPostoperative ComplicationsAdultAgedAged, 80 and overAge FactorsColicFemaleHumansMaleMiddle AgedPostoperative HemorrhageRetrospective StudiesRisk FactorsBleedingCommon bile duct cannulation rateEffectivenessElderlyEndoscopic retrograde cholangiopancreatographyPancreatitisSafety

Identifiers

PMID41025009
PMCPMC12476686

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.