Ingber S, Jacobson I M
New York Hospital-Cornell Medical Center, New York.
Gastroenterol Clin North Am. 1990 Jun;19(2):433-57.
Cholelithiasis and its complications, along with malignancy, account for the majority of biliary and pancreatic diseases in the elderly and increase in frequency with advancing age. The presentation is often subtle and requires a high index of suspicion on the part of the clinician. Surgical management of pancreaticobiliary disease usually is associated with an increased morbidity and mortality relative to younger patients, although in some cases surgery still remains the best treatment modality. A major advance has been the development of nonsurgical therapeutic techniques, such as endoscopic sphincterotomy and biliary endoprostheses.
胆石症及其并发症，与恶性肿瘤一起，构成了老年人胆道和胰腺疾病的大部分，并随着年龄的增长而发病率增加。其表现往往不明显，需要临床医生高度怀疑。相对于年轻患者，胰腺胆道疾病的手术治疗通常伴随着更高的发病率和死亡率，尽管在某些情况下手术仍然是最佳的治疗方式。一个重大进展是内镜括约肌切开术和胆道内支架等非手术治疗技术的发展。
