经内镜逆行胰胆管造影治疗60岁以上老年胆胰疾病患者的特点及策略

Features and strategies of endoscopic retrograde cholangiopancreatography in elderly patients aged above 60 years with biliary and pancreatic diseases

60岁以上老年胆胰疾病患者合并其他基础疾病较多,心肺功能差,多无法耐受全身麻醉,80岁以上患者接受外科胆管探查术的病死率及并发症发生率较高。经内镜逆行胰胆管造影特别适用于老年胆胰疾病患者,阐述了老年患者经内镜逆行胰胆管造影围手术处理及技术操作的特点。

Elderly patients with biliary and pancreatic diseases are often complicated by other underlying diseases and have poor cardiopulmonary function,and most of them cannot tolerate general anesthesia. The patients aged above 80 years who have undergone bile duct exploration have high mortality rate and incidence rate of complications. Endoscopic retrograde cholangiopancreatography（ ERCP） is applicable to elderly patients with biliary and pancreatic diseases. This article elaborates on the features of perioperative treatment and technical operation of ERCP in elderly patients.