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Clinical reviews
UNCOMPLICATED CHOLEDOCHOLITHIASIS IN ELDERLY PATIENTS: A TARGET TRIAL EMULATION COMPARING OBSERVATION AND ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY
Medical College of Wisconsin
PDF202611 pages2.0 MB
The management of uncomplicated choledocholithiasis in elderly patients remains controversial due to uncertain clinical benefits of intervention and higher complication rates associated with ERCP. This study emulates a target trial to compare early ERCP with observation in this patient population. The findings suggest that observation may lead to better outcomes in a significant proportion of cases, raising questions about the routine use of ERCP in elderly patients with this condition.
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