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Cholecystectomy does not affect mortality in elderly patients

Principal Investigator
Prof. Kodama Ryo, Minaminagano Medical Center, Japan

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Conference
UEGW 2020
Cholecystectomy is often recommended after treatment for common bile duct stones. However, especially in the elderly, it is difficult to decide whether to recommend cholecystectomy. A study from Japan showed that the presence or absence of cholecystectomy does not affect biliary tract problems or mortality in patients ≥80 years old [1]. Patients with choledocholithiasis have been shown to have a high incidence of acute cholecystitis after endoscopic treatment of bile duct stones. This study assessed the necessity of cholecystectomy for gallstones after treatment of choledocholithiasis in elderly patients aged ≥80 years. The rate of biliary troubles and mortality according to the presence or absence of cholecystectomy were studied as well. Of the 314 patients who underwent endoscopic retrograde cholangiopancreatography for common bile duct stones in a Japanese hospital over 5 years (2011-2016), 197 patients had gallstones. The curre...


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