• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Cholecystectomy after ERCP in the over 80\’s: Adding insult to injury?

Cholecystectomy after ERCP in the over 80\’s: Adding insult to injury?

Rebecca L Teasdale, Miss, Mukhtar Ahmad, Mr, Bussa R Gopinath, Mr

North Tees and Hartlepool NHS Trust

Aim
To investigate the outcome of patients, over the age of 80, found to have common bile duct (CBD) stones at endoscopic retrograde cholangio-pancreatography (ERCP).

Methods
Retrospective analysis of endoscopy database and case notes was carried out on all patients 80 years and over who underwent ERCP between February 2007 and December 2008. Those found to have CBD stones were included. Cases were followed up to present.

Results
68 patients were evaluated. Mean age was 85 (range 80-94). 50 were female, 18 Male. 3 already had and 5 went on to have a cholecystectomy. The patients who did proceed to a cholecystectomy had a mean hospital stay of 14 days (range 3-25) and all developed post-operative complications. 3 were carried out laparoscopically and 2 were converted to open. 2 patients went into acute renal failure post-op (both open cholecystectomy), 2 were treated for a lower respiratory tract infection and 1 for a urinary tract infection. 1 patient had an intra-abdominal collection, which was treated conservatively. 1 represented with biliary stricture and sepsis. 60 did not have surgery following their ERCP. 3 patients died during the same admission from cholangitis and the remaining patients were deemed unfit or declined surgery. 11 (18%) patients re-presented over the follow-up period. 2 patients had biliary colic, 2 cholecystitis, 2 cholangitis, 4 with CBD stones and 1 with a CBD stricture. 2 of these patients presented more than once and 1 died from biliary sepsis. 2 of these patients did not have a sphincterotomy performed, due to abnormal clotting. 9 patients died within the follow-up period from non-gallstone related disease.

Conclusions
Surgery in the over 80’s is associated with greater length of hospital stay and incidence of post-operative complications. In patients who do not have symptoms of gallstone disease non-operative management of CBD stones post ERCP + sphincterotomy is a safe alternative.


Session: Podium Presentation

Program Number: S039

465

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals