Managing Gallstone Disease in the Elderly. Review uri icon

Overview

abstract

  • Geriatric patients tend to have subtle presentations of biliary disorders and, if untreated, can decompensate acutely. Each biliary disorder warrants formulation of an individualized treatment plan with a multidisciplinary approach. Acute cholecystitis, a common complication of gallstones, is initially managed by conservative measures and subsequently, among patients with optimal surgical risk, through laparoscopic or open cholecystectomy. High-risk patients undergo temporization, percutaneous or endoscopic, followed by definitive intervention. Acute cholecystitis with complications (ie, perforation, gangrene, or small bowel obstruction) warrants emergent cholecystectomy. Gallstone migration into the biliary system can cause choledocholithiasis, often complicated by biliary pancreatitis or cholangitis if not intervened. Therapy for choledocholithiasis is based on biliary clearance through endoscopic and, infrequently, surgical approaches.

publication date

  • October 29, 2020

Research

keywords

  • Cholecystectomy
  • Choledocholithiasis
  • Gallstones

Identity

Scopus Document Identifier

  • 85094817388

Digital Object Identifier (DOI)

  • 10.1016/j.cger.2020.08.005

PubMed ID

  • 33213774

Additional Document Info

volume

  • 37

issue

  • 1