Ewha Med J.  2014 Sep;37(2):92-97. 10.12771/emj.2014.37.2.92.

Safety of Sedated Therapeutic Endoscopic Retrograde Cholangiopancreatography in Patients Older than 70 Years Old

• Baik SJ
• Yi SY
• Jung HK
• Kim SE

• KMID: 2171289
• DOI: http://doi.org/10.12771/emj.2014.37.2.92

Abstract

OBJECTIVES
The purpose of this study was to compare the safety and efficacy of midazolam sedated Endoscopic retrograde cholangiopancreatography (ERCP) with unsedated ERCP in patients 70 years of ages and older.
METHODS
Seventy elderly patients 70 years of age or older who underwent ERCP were divided into two groups: midazolam sedated group (n=43) and unsedated group (n=27). Procedure time, success rate, complications related with ERCP procedure, satisfaction score were analyzed between two groups.
RESULTS
Mean procedure time was 20.6 minutes for sedated group and 21.0 minutes for unsedated group (P=0.88). Success rate was 87.5% for sedated group and 100% for unsedated group (P=0.07). Incidence of complications from ERCP procedure showed no significant differences between the sedated and unsedated groups (P=0.10). There was no mortality in both groups related to the sedation or post-ERCP complication. Compared to the unsedated procedure, the sedated ERCP procedure was associated with higher patient satisfaction (P<0.001) and better repeat compliance (P=0.004).
CONCLUSION
There was no significant difference in success rate and complications at sedated and unsedated ERCP in patients 70 years of age and older. Unsedated ERCP showed 66.6% satisfaction score compared to sedated ERCP.

Keyword

Elderly; Endoscopic retrograde cholangiopancreatography; Conscions sedation

MeSH Terms

Aged
Cholangiopancreatography, Endoscopic Retrograde*
Compliance
Humans
Incidence
Midazolam
Mortality
Patient Satisfaction
Midazolam

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