| Theme | Digestive Diseases of the Aged Over 85 -- the Characteristics and Therapeutic Points | |
|---|---|---|
| Title | Endoscopic Treatments for Biliary Stones in Very Elderly Patients | |
| Publish Date | 2015/04 | |
| Author | Naoki Okano | Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center |
| Author | Yuui Kishimoto | Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center |
| Author | Seiichi Hara | Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center |
| Author | Kensuke Takuma | Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center |
| Author | Takahiko Mimura | Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center |
| Author | Ken Ito | Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center |
| Author | Yoshinori Igarashi | Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center |
| [ Summary ] | The elderly population in our country has been growing steadily, and with it, the opportunity to treat biliary stones in very elderly patients has increased. Endoscopic treatments (EST and EPBD) are effective for bile duct stones. Very elderly patients often have underlying chronic illnesses such as cardiovascular disease, neurovascular disease, or dementia, necessitating careful management during and after endoscopy. When gallbladder stones remain after treatment for a bile duct stone, the rate of acute cholecystitis is low, and preventive cholecystectomy is unnecessary if the gallstones are asymptomatic. | |