Management of complicated gallstones in the elderly:comparing surgical and non-surgical treatment options

作     者：Yousef Nassar Seth Richter 

作者机构：Department of MedicineAlbany Medical Center43 New Scotland AvenueAlbanyNY 12208USA Division of GastroenterologyAlbany Medical Center43 New Scotland AvenueAlbanyNY 12208USA 

出 版 物：《Gastroenterology Report》 (胃肠病学报道（英文）)

年 卷 期：2019年第7卷第3期

页      面：205-211,I0002页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Gallstone disease elderly cholecystectomy endoscopic retrograde cholangiopancreatography percutaneous aspiration 

摘      要：Objective:The aim of this study was to evaluate the differences in clinical outcomes of endoscopic retrograde cholangiopancreatography(ERCP),ERCP followed by cholecystectomy(EC)and percutaneous aspiration(PA)in the elderly population with ***:We included a total of 43338 elderly patients aged 60 years or older and 45295 patients younger than 60 years for comparison in our *** were obtained from the Nationwide Inpatient Sample(Healthcare Utilization Project)for years 2001–14 by identifying patients who were admitted for gallstone complications based on the ICD 9 diagnostic *** logistic regression was used to calculate the odds of in-hospital mortality and to detect statistical differences among the treatment groups,age groups and between male and female *** ordinary linear regression was used to compare the length of hospital stay and readmission frequency among the different age ***:The age of the patient affected mortality and the length of hospital stay after any type of procedure of gallstones *** a manner independent of the patient’s age,PA was associated with the highest risk of death and length of stay,while the EC was characterized by lowest mortality and ERCP by the shortest length of *** age of the patient nor the type of procedure affected the likelihood of *** odds of death and the probability of readmission were not affected by patient ***,in patients aged between 60 and 79 years,the female gender predicted a shorter duration of stay in the ***:A patient’s age negatively affects the treatment outcomes of cholelithiasis with associated *** EC procedure appears to be the method of choice for the management of complicated gallstones in patients of all ages.