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Visual abstract — A risk score model for post-endoscopic retrograde cholangiopancreatography complications in elderly patients with choledocholithiasis
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Original ArticleVisual abstract28 August 2025

A risk score model for post-endoscopic retrograde cholangiopancreatography complications in elderly patients with choledocholithiasis

A simple seven-point score flags which elderly stone patients face the highest ERCP risk.

Saudi Journal of GastroenterologySaudi J Gastroenterol. 2025; 31(6); pp. 347-355

Guanjun Zhang, Guanyi Zhang, Ke Meng, et al.

SGA Briefing

This study of ERCP patients over 75 with bile duct stones identifies five factors -- comorbidity burden, elevated liver enzymes, large-balloon dilation, prolonged cannulation, and multiple large stones -- that predict complications after the procedure. The resulting seven-point risk score performed well in both derivation and external validation cohorts. The authors present it as an easy bedside tool for triaging elderly patients before ERCP.

57-second video summary
What this video shows
  1. The question: Can a simple bedside score predict which elderly patients will have complications after ERCP?
  2. The study: This study focused on ERCP patients over 75 with bile duct stones, and identified five factors that predict complications.
  3. The finding: They are comorbidity burden, elevated liver enzymes, large-balloon dilation, prolonged cannulation, and multiple large stones.
  4. The nuance: The resulting seven-point risk score performed well in both the derivation and external validation cohorts.

Takeaway: an easy bedside tool to triage elderly patients before ERCP.

Narrated (standard AI voice, not a cloned voice) with burned-in captions matching the narration word-for-word — safe to watch muted. Built from this article’s SGA Briefing only.

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