Pancreatic and biliary disorders in the elderly

被引:41
作者
Ross, SO [1 ]
Forsmark, CE [1 ]
机构
[1] Univ Florida, Coll Med, Div Gastroenterol Hepatol & Nutr, Gainesville, FL 32610 USA
关键词
D O I
10.1016/S0889-8553(05)70194-1
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Structural and functional changes in the biliary tract and pancreas associated with advanced age are well documented in the literature and must be taken into account in evaluating patients with possible biliary and pancreatic disorders. The relationship between normal, age-related physiologic changes and various pancreatico-biliary diseases is not well defined. Elderly patients may present with severe biliary and pancreatic disease that may pose difficult management problems because of coexisting medical illnesses. Despite these challenges, all but the most frail elderly patients can benefit from appropriate medical, endoscopic, and surgical therapy.
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页码:531 / +
页数:16
相关论文
共 103 条
[91]   EFFECTS OF SEX AND AGE ON PANCREATIC-SECRETION [J].
TISCORNIA, OM ;
CRESTA, MA ;
DELEHMANN, ES ;
CELENER, D ;
DREILING, DA .
INTERNATIONAL JOURNAL OF PANCREATOLOGY, 1986, 1 (02) :95-118
[92]  
Tokunaga Y, 1997, HEPATO-GASTROENTEROL, V44, P671
[93]   Long-term ursodeoxycholic acid therapy is associated with reduced risk of biliary pain and acute cholecystitis in patients with gallbladder stones: A cohort analysis [J].
Tomida, S ;
Abei, M ;
Yamaguchi, T ;
Matsuzaki, Y ;
Shoda, J ;
Tanaka, N ;
Osuga, T .
HEPATOLOGY, 1999, 30 (01) :6-13
[94]   PIGMENT VS CHOLESTEROL CHOLELITHIASIS - CLINICAL AND EPIDEMIOLOGICAL ASPECTS [J].
TROTMAN, BW ;
SOLOWAY, RD .
AMERICAN JOURNAL OF DIGESTIVE DISEASES, 1975, 20 (08) :735-740
[95]   AGE AND SEX-DEPENDENT ALTERATIONS OF SERUM AMYLASE AND ISOAMYLASE LEVELS IN NORMAL HUMAN ADULTS [J].
UEDA, M ;
ARAKI, T ;
SHIOTA, T ;
TAKETA, K .
JOURNAL OF GASTROENTEROLOGY, 1994, 29 (02) :189-191
[96]  
Uomo G, 1998, ITAL J GASTROENTEROL, V30, P616
[97]   Endoscopic sphincterotomy and recurrence of acute pancreatitis in gallstone patients considered unfit for surgery [J].
Uomo, G ;
Manes, G ;
Laccetti, M ;
Cavallera, A ;
Rabitti, PG .
PANCREAS, 1997, 14 (01) :28-31
[98]  
VELLAS B, 1988, PRESSE MED, V17, P2067
[99]  
WEDMANN B, 1991, AM J GASTROENTEROL, V86, P1765
[100]   Endoscopic sphincterotomy for choledocholithiasis: A prospective single-center study on the short-term and long-term treatment results in 483 patients [J].
Wojtun, S ;
Gil, J ;
Gietka, W ;
Gil, M .
ENDOSCOPY, 1997, 29 (04) :258-265