Age is Important, but Patient Status is also Important in Endoscopic Retrograde Cholangiopancreatography

Endoscopic retrograde cholangiopancreatography (E.R.C.P.).

Endoscopic Retrograde Cholangiopancreatography: Summary

Diseases of the pancreas and biliary tree are common in the United States. An estimated 6 per 100,000 people are afflicted with common bile duct stones, representing only a small fraction of those with gallstones. There are approximately 57,400 newly diagnosed cases of malignancy of the pancreas, gallbladder, or extrahepatic biliary tract each year, and the prognosis is usually poor. Pancreatit...

Gallstone pancreatitis: when is endoscopic retrograde cholangiopancreatography truly necessary?

Acute pancreatitis is an inflammation of the pancreas that can, in a minority of patients, lead to local complications, multiorgan failure, and death. Gallstones are the most common cause of acute pancreatitis in Western countries. The majority of patients with acute gallstone pancreatitis have mild disease and recover within 3 to 5 days with bed rest and intravenous fluid replacement. In up to...

Is Endoscopic Retrograde Cholangiopancreatography Safe in Patients 90 Years of Age and Older?

BACKGROUND/AIMS This case-control study evaluated the safety and efficacy of endoscopic retrograde cholangiopancreatography (ERCP) in patients 90 years of age and older. METHODS From January 2005 to August 2011, 5,070 cases of ERCP were performed at our institution. Of these, 43 cases involved patients 90 years of age and older (mean age, 91.7±1.9 years). A control group of 129 cases (mean ag...

Difficult endoscopic retrograde cholangiopancreatography.

JB Most endoscopists who are asked this question would immediately think of anatomic problems that limit or prevent access to the main duodenal papilla for cannulation, such as prior upper gastrointestinal surgery (eg, Billroth II gastrectomy, Roux-en-Y biliary diversion, or gastric bypass procedures) or gastric outlet obstruction (Figure 1). However, the difficulty of an endoscopic retrograde ...