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Role of ERCP in Older Adults

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Geriatric Gastroenterology

Abstract

With increasing age, the incidence of pancreatic and biliary diseases rises. Endoscopic retrograde cholangiopancreatography (ERCP) is a commonly performed endoscopic procedure in older adults to diagnose and treat pancreaticobiliary disorders. However, older patients are usually associated with multiple comorbid conditions and, thus, may be more susceptible to complications during the endoscopic interventions. Additionally, complications in older patients can be more severe compared to younger individuals because of the decreased physiological reserve, presence of concomitant systemic diseases, and possible serious drug interactions. Therefore, the endoscopist should be aware of the risks and needs to pay special attention to the risk versus benefits before considering the endoscopic interventions in geriatric patients. This chapter will focus on the yield, safety, and indications of ERCP in older adults.

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Authors and Affiliations

  1. Division of Gastroenterology and Hepatology, Saint Peter’s University Hospital – Rutgers Robert Wood Johnson School of Medicine, New Brunswick, NJ, USA

    Sonmoon Mohapatra & Arkady Broder

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  1. Sonmoon Mohapatra
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  2. Arkady Broder
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Correspondence to Arkady Broder .

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Editors and Affiliations

  1. Department of Medicine, Robert Wood Johnson School of Medicine, Rutgers University, New Brunswick, NJ, USA

    C. S. Pitchumoni

  2. Department of Medicine, Division of Geriatrics, Montefiore Medical Center, Wakefield Campus, Bronx, NY, USA

    T.S. Dharmarajan

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Mohapatra, S., Broder, A. (2021). Role of ERCP in Older Adults. In: Pitchumoni, C.S., Dharmarajan, T. (eds) Geriatric Gastroenterology. Springer, Cham. https://doi.org/10.1007/978-3-030-30192-7_33

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