| Theme | Gastrointestinal Disease in the Elderly Focusing on Minimally Invasive Therapy | |
|---|---|---|
| Title | ERCP in the Elderly | |
| Publish Date | 2007/12 | |
| Author | Hiroshi Kakutani | Department of Endoscopy, The Jikei University School of Medicine |
| Author | Hiroshi Arakawa | Department of Endoscopy, The Jikei University School of Medicine |
| Author | Yujiro Uchiyama | Department of Endoscopy, The Jikei University School of Medicine |
| Author | Keiichi Ikeda | Department of Endoscopy, The Jikei University School of Medicine |
| Author | Hisao Tajiri | Department of Gastroenterology and Hepatology, The Jikei University School of Medicine |
| Author | Tomoyoshi Okamoto | Department of Surgery, The Jikei University School of Medicine |
| [ Summary ] | The respiratory and circulatory dynamics of elderly people during endoscopic procedures are described. It is important to take early measures not to overlook slight changes that could occur during endoscopic procedures due to low physical capacity. Moderate usage of sedative procedures good results for the respiratory and circulatory dynamics of elderly patients as well as younger. In regard to ERCP, many issues concerning target diseases or diversity of complications must be mastered. For that reason, high volume facilities employing ERCP related procedures have some advantages in taking measures to deal with complications. Once complications during or after ERCP have occurred, intensive management of the general state of patients should be taken as early as possible. In Japan, unlike European countries or United States, it must be said that medical judicature does not function adequately at this time. When the measures for complications are discussed, this point should also be considered. |
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