Natural course and treatment of the aged with cholelithiasis

DOI
  • KUMAI Tomoyuki
    Department of Internal Medicine, Nagoyashi-Kouseiin Geriatric Hospital
  • YAMADA Tamaki
    Department of Internal Medicine, Nagoyashi-Kouseiin Geriatric Hospital
  • OHNISHI Hayato
    Department of Internal Medicine, Nagoyashi-Kouseiin Geriatric Hospital
  • KAWAMURA Yosio
    Department of Internal Medicine, Nagoyashi-Kouseiin Geriatric Hospital
  • KATOH Naoya
    Department of Internal Medicine, Nagoyashi-Kouseiin Geriatric Hospital
  • YAMAMOTO Toshiyuki
    Department of Internal Medicine, Nagoyashi-Kouseiin Geriatric Hospital
  • KATAGIRI Kenji
    Department of Internal Medicine, Nagoyashi-Kouseiin Geriatric Hospital
  • HAYAKAWA Tomihiro
    Department of Internal Medicine, Nagoyashi-Kouseiin Geriatric Hospital
  • HOSHINO Makoto
    Department of Internal Medicine, Nagoyashi-Kouseiin Geriatric Hospital
  • MIYAJI Makoto
    Department of Internal Medicine, Nagoyashi-Kouseiin Geriatric Hospital
  • TACHEUCHI Toshihiko
    First Department of Internal Medicine, Nagoya City University School of Medicine

Bibliographic Information

Other Title
  • 高齢者胆石症の自然経過と治療方針について

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Description

1881 autopsy cases were retrospectively studied from the view point of the natural course and treatment of cholelithiasis. Gallstones were found in 378 cases (choleecystolithiasis 302, choledocolithiasis 38, choledocho-cholecystolithiasis 38). The in cidence of Gallstone carriers, especially choledocholithiasis, increased with age. Many cases with Gallstones didn't die from cancer neither acute obustrctive suppuruative cholangitis (AOSC). But, the mortality rate from AOSC in choledocholithiasis was much higher than that in cholecystolithiasis and, cases of choledocholithiasis, died from AOSC, had showed mild attack before the last severe one.In therapy for choledocholithiasis, it was no significant difference in prognosis between operative and non-operative stone treatments.<BR>In conclusion, the presence of silent cholelithiasis in the aged is not an indication of operation. But, in cases of choledocholithiasis, careful observation is required and lithotripsy, if patients general condition permittable, is advisable.

Journal

  • Tando

    Tando 6 (5), 473-482, 1992

    Japan Biliary Association

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