Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Biliary tract disease in the aged.

M L Krasman1, W A Gracie, S R Strasius

  • 1Wayne State University School of Medicine, Detroit, Michigan.

Clinics in Geriatric Medicine
|May 1, 1991
PubMed
Summary

Gallstone disease affects many elderly individuals, often silently. Symptomatic cases require tailored treatment, balancing surgical, non-surgical, and expectant approaches based on patient factors and physician expertise.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Treatment of gallstones.

Annals of internal medicine·1993
Same author

Management of patients with symptomatic gallstones: a quantitative analysis.

The American journal of medicine·1990
Same author

Endoscopic papillotomy: impact on community hospital treatment of common duct stones.

The American surgeon·1988
Same author

Prophylactic cholecystectomy or expectant management for silent gallstones. A decision analysis to assess survival.

Annals of internal medicine·1983
Same author

Endoscopic papillotomy for recurrent common bile duct stones and papillary stenosis. A community hospital experience.

Archives of surgery (Chicago, Ill. : 1960)·1983
Same author

The natural history of silent gallstones: the innocent gallstone is not a myth.

The New England journal of medicine·1982

Area of Science:

  • Gastroenterology
  • Hepatobiliary Diseases

Background:

  • Gallstone disease (GSD) impacts 20-30% of the elderly population.
  • Most cases are asymptomatic and require no intervention.
  • Symptomatic GSD management involves surgical, non-surgical, or expectant strategies.

Purpose of the Study:

  • To review current management strategies for symptomatic gallstone disease in the elderly.
  • To discuss treatment options for acute cholecystitis, choledocholithiasis, and biliary strictures.
  • To highlight challenges and considerations in managing biliary tract conditions in older adults.

Main Methods:

  • Review of current medical literature on gallstone disease and biliary tract disorders.
  • Analysis of treatment modalities including surgical, non-surgical, and endoscopic interventions.
  • Discussion of diagnostic considerations for benign and malignant biliary obstructions.

Main Results:

  • Silent gallstone disease requires no treatment.
  • Symptomatic GSD management is individualized, considering physician experience and patient preference.
  • Nonsurgical options for GSD are evolving but have limitations.
  • Acute cholecystitis generally warrants early surgery, with exceptions for high-risk patients.
  • ERCP with sphincterotomy is recommended for choledocholithiasis and severe biliary pancreatitis.
  • Benign biliary strictures are often iatrogenic post-cholecystectomy; malignant obstructions are common and rarely curable in the elderly.
  • Palliation for malignant biliary obstruction is frequently achieved via endoscopic stenting.

Conclusions:

  • Treatment decisions for symptomatic gallstone disease are complex and patient-specific.
  • Endoscopic retrograde cholangiopancreatography (ERCP) plays a crucial role in managing choledocholithiasis and severe biliary pancreatitis.
  • Management of biliary strictures and malignant obstructions requires careful consideration, with palliation as a primary goal in advanced cases.

Related Experiment Videos