{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T22:33:34Z","timestamp":1765233214731,"version":"3.40.5"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T00:00:00Z","timestamp":1638230400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>This study aimed to explore the safety and efficacy of <jats:styled-content style=\"fixed-case\">endoscopic retrograde cholangiopancreatography<\/jats:styled-content> (ERCP) in patients over 90\u2009years of age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study included 176 patients aged over 85\u2009years who received their ERCP from February 2002 to January 2021. In the case group (super\u2010elderly group), 44 patients were 90\u2009years old or above. In the control group (younger group), there were 132 patients aged 85\u201389\u2009years. The control group was matched according to patient gender and the same indications of ERCP at a 1:3 ratio. Logistic regression models were employed to evaluate all complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The case group had higher acute physiology and chronic health evaluation scoring system (APACHE\u2010II) scores and rate of hypoalbuminemia. APACHE\u2010II scores (\u22656 or 7) were significantly more common in the case group. The rates of technical success and complete success in the case group were 100% and 100% respectively, which were similar to the rates in the control group, namely a technical success rate of 98.5% and a complete success rate of 98.5%. The rate of complication in the case group was 9.1%, which was slightly lower than that of the control group (15.2%, <jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05). ERCP\u2010related death occurred in one patient in the control group, who had malignant biliary obstruction and died from cholangitis. There was no significant difference in the incidence of complications such as pancreatitis, hemorrhage, and infection between the two groups. In the multivariate analysis, the independent risk factor was Charlson Comorbidity Index (CCI) for overall complication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ERCP can be performed safely and successfully in patients aged \u226590\u2009years. <jats:bold>Geriatr Gerontol Int 2022; 22: 50\u201355<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.14315","type":"journal-article","created":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T04:13:44Z","timestamp":1638332024000},"page":"50-55","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Safety and efficacy of therapeutic <scp>endoscopic retrograde cholangiopancreatography<\/scp> for patients over 90\u2009years of age"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6133-8919","authenticated-orcid":false,"given":"Da\u2010ya","family":"Zhang","sequence":"first","affiliation":[{"name":"Graduate School of PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ya\u2010qi","family":"Zhai","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology The First Medical Center, Chinese PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guan\u2010jun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Graduate School of PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheng\u2010xin","family":"Chen","sequence":"additional","affiliation":[{"name":"Graduate School of PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lang","family":"Wu","sequence":"additional","affiliation":[{"name":"Graduate School of PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming\u2010yang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology The First Medical Center, Chinese PLA General Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,11,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v23.i13.2424"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2001-15313"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.giec.2014.09.005"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000213511"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/27.6.683"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-018-0764-4"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13302"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(91)70740-2"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2016.06.051"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2005.09.051"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.928033"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2006.04.005"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/srep04918"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2015.04.032"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1365281"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2018.12.002"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/45.2.P64"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2004.01962.x"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199206113262401"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199001000-00009"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-198108000-00008"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2020.05.024"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2019.07.014"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2017.11.015"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-016-4064-y"},{"key":"e_1_2_9_27_1","first-page":"65","article-title":"Risk factors for therapeutic ERCP\u2010related complications: an analysis of 2715 cases performed by a single endoscopist","volume":"27","author":"Katsinelos P","year":"2014","journal-title":"Ann Gastroenterol"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1004193"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(98)70121-X"}],"container-title":["Geriatrics &amp; 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