| ISSN |
1948-5190 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Retrospective Study |
| Article Title |
Impact of frailty on endoscopic retrograde cholangiopancreatography outcomes in nonagenarians: A United States national experience
|
| Manuscript Source |
Invited Manuscript |
| All Author List |
Sanket Dhirubhai Basida, Dushyant Singh Dahiya, Muhammad Nadeem Yousaf, Brinda Basida, Bhanu Siva Mohan Pinnam, Manesh Kumar Gangwani, Hassam Ali, Sahib Singh, Yash R Shah, Daksh Ahluwalia, Mihir Prakash Shah, Saurabh Chandan, Neil R Sharma and Shyam Thakkar |
| Funding Agency and Grant Number |
|
| Corresponding Author |
Dushyant Singh Dahiya, MD, Doctor, Division of Gastroenterology, Hepatology & Motility, The University of Kansas School of Medicine, 2000 Olathe Blvd, Kansas City, KS 66160, United States. dush.dahiya@gmail.com |
| Key Words |
Endoscopic retrograde cholangiopancreatography; Nonagenarians; Frailty; Mortality; Healthcare Burden |
| Core Tip |
In this comprehensive national study, frail nonagenarians undergoing endoscopic retrograde cholangiopancreatography (ERCP) faced heightened mortality, prolonged hospital stays, and increased healthcare costs compared to non-frail counterparts. Surprisingly, intra-procedural and post-procedural complications showed no significant difference between the frail and non-frail groups, including bleeding and accidental punctures. Notably, post-ERCP pancreatitis rates were also comparable. Despite similar 30 d readmission rates, frailty emerged as an independent predictor of post-ERCP mortality in nonagenarians. With limited guidelines for such advanced procedures in this population, careful consideration of benefits vs risks is crucial, urging a personalized approach for those with approved indications for ERCP. |
| Publish Date |
2024-03-14 08:36 |
| Citation |
Basida SD, Dahiya DS, Yousaf MN, Basida B, Pinnam BSM, Gangwani MK, Ali H, Singh S, Shah YR, Ahluwalia D, Shah MP, Chandan S, Sharma NR, Thakkar S. Impact of frailty on endoscopic retrograde cholangiopancreatography outcomes in nonagenarians: A United States national experience. World J Gastrointest Endosc 2024; 16(3): 148-156 |
| URL |
https://www.wjgnet.com/1948-5190/full/v16/i3/148.htm |
| DOI |
https://dx.doi.org/10.4253/wjge.v16.i3.148 |
