INTRODUCTION: The rate of complications after endoscopic sphincterotomy (ES) is about 10%, and early complications have been reported in 20% of @entity1 considered unfit for surgery. AIM: To evaluate the early and long-term results of endoscopic intervention in relation to the anesthesiological risk for 87 @entity1 with @entity656 . METHODOLOGY: All @entity1 underwent endoscopic retrograde cholangiopancreatography (ERCP) and were evaluated according to the American Society of Anesthesiology (ASA) criteria immediately before the operative procedure. @entity1 ' ASA scores were as follows: 49.4%, ASA 2; 29.9%, ASA 3; and 20.7%, ASA 4. RESULTS: The severity of @entity656 was positively related to the anesthesiological grade (p = 0.014). Six @entity1 (6.9%) had complications related to the endoscopic procedure. There was no significant relationship between the frequency of biliopancreatic complications during the follow-up (23/84, 27.4%) and the ASA grade. The frequency of cholecystectomy was inversely related to the ASA grade (p = 0.003). Seven @entity1 (8.3%) died during the follow-up period: multivariate analysis showed that the ASA grade (odds ratio [OR], 10.9; 95% confidence interval [CI], 1.2-96.6; p = 0.001) and age (OR, 1.1; 95% CI, 1.0-1.3; p = 0.037) were significantly related to survival. CONCLUSIONS: Endoscopic treatment is safe and effective in @entity1 at high anesthesiological risk with @entity656 , and survival is significantly related to the ASA grade.

Anesthesiological risk and endoscopic sphincterotomy in XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'Patients'] @entity656 :: ('MESH:D019283', 'Disease') :: ['acute biliary pancreatitis', 'acute pancreatitis']
@entity656 :: (MESH:D019283,Disease) :: ['acute biliary pancreatitis']
