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Online ISSN : 1883-6879
Print ISSN : 0914-0077
ISSN-L : 0914-0077
Original Articles
Effectiveness of endoscopic treatments for the elderly patients over 80 years old with choledocholithiasis
Takahiko MimuraKen ItoTakuya SuzukiNaoki OkanoYoshinori Igarashi
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2009 Volume 23 Issue 4 Pages 602-609

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Abstract
In the rapidly aging society of this country, we have increasing opportunity to treat the elderly patients with choledocholithiasis.
We made a comparative review of two groups comprising 122 cases of the aged group over 80 years old and 304 cases of the non-aged group under the age of 80. We added the review of hospitalization cost regarding the cases after the May 2003.
There were no significant differences in rate of complete stone removal, numbers of treatment sessions, periods of hospitalization in the patients, and complications. Although we found that the endoscopic treatments for elderly patients with choledocholithiasis were effective and satisfactory, great care must be taken to avoid the postoperative complications by meticulous postoperative management of the elderly patients who frequently have cardiopulmonary diseases. There were no significant difference in hospitalization cost in both groups. Because it becomes reduction of medical cost to decrease the numbers of treatment sessions and to shorten the periods of hospitalization, it is necessity to improve treatment tools.
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© 2009 Japan Biliary Association
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