Año 2024 / Volumen 116 / Número 5
Editorial
ERCP for common bile duct stones in the elderly: refining the procedure to improve outcomes

241-243

DOI: 10.17235/reed.2024.10352/2024

Jesús García-Cano, Miriam Viñuelas Chicano, Laura Valiente González,

Resumen
Removal of common bile duct stones in patients with a previous cholecystectomy was one of the first indications for ERCP with biliary sphincterotomy. Thanks to a minimally invasive procedure, patients were prevented from having a new operation. Subsequently, as the technique proved to be successful, ERCP was extended to all patients with choledocholithiasis, regardless of whether or not they had gallbladder. Also contributing was the fact that, at least in the beginnings, surgical interventions on the bile duct with laparoscopic cholecystectomy were more difficult. Nowadays, many surgeons prefer to perform cholecystectomy with a bile duct clean of stones. In this issue of the Spanish Journal of Gastroenterology, Gardenyes et al. present a study on ERCP for common bile duct stones in elderly patients. The novelty of this study is not only to analyze the ERCP procedure, which we already knew has similar success and complication rates to younger patients, but also to focus on the long-term outcome, considering the frailty that frequently accompanies aging. The study concludes that older patients may benefit from enhanced care protocols to reduce medical adverse events and improve outcomes. For us gastroenterologists and endoscopists, another conclusion that can be drawn from this study is that we should not be satisfied that ERCP in older patients has the same success and complication rates as in younger patients, but rather we should strive to ensure that the results are even better.
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Bibliografía
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García-Cano J, Viñuelas Chicano M, Valiente González L. ERCP for common bile duct stones in the elderly: refining the procedure to improve outcomes. 10352/2024


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Ficha Técnica

Recibido: 19/02/2024

Aceptado: 24/02/2024

Prepublicado: 12/03/2024

Publicado: 09/05/2024

Tiempo de prepublicación: 22 días

Tiempo de edición del artículo: 80 días


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