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Cholangitis and Choledocholithiasis

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Emergency laparoscopic surgery in the elderly and frail patient

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Abstract

The prevalence of cholangitis and choledocholithiasis increases with age in all populations. Age-related changes have relevant implications in the diagnosis and management of these conditions. In this chapter, we examine the peculiarities of choledocholithiasis and acute cholangitis in the elderly. As for most acute abdominal conditions, the risk of erroneous or delayed diagnosis is high in aged patients, due to their clinical characteristics and age-related changes in the physiological responses to sepsis and inflammation. The higher risk that age and frailty imply stresses the importance of less invasive techniques for the clearance of the common bile duct obstruction. We examine the literature’s best evidence about the management of these conditions in the older adults. We also analyze the role of minimally invasive surgery in the treatment of the clinical conditions of the frailer and older patients.

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Author information

Authors and Affiliations

  1. Emergency Surgery Unit, Parma University Hospital, Parma, Italy

    Gennaro Perrone & Fausto Catena

  2. Gastroenterology and Endoscopy Unit, Parma University Hospital, Parma, Italy

    Federica Gaiani & Gian Luigi de’ Angelis

  3. General Surgery Unit, Parma University Hospital, Parma, Italy

    Andrea Morini & Mario Giuffrida

  4. Division of General Surgery, ASL VT - Ospedale San Giovanni Decollato - Andosilla, Civita Castellana, Italy

    Fabio Cesare Campanile

Authors
  1. Gennaro Perrone
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  2. Federica Gaiani
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  3. Andrea Morini
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  4. Mario Giuffrida
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  5. Gian Luigi de’ Angelis
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  6. Fausto Catena
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  7. Fabio Cesare Campanile
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Editor information

Editors and Affiliations

  1. Department of General Surgery, ULSS2 Trevigiana del veneto, Vittorio Veneto (TV), Italy

    Ferdinando Agresta

  2. Policlinico Universitario Duilio Casula, AOU Cagliari, Department of Emergency Surgery, Monserrato, Italy

    Mauro Podda

  3. General Surgery, Ospedale San Giovanni Decollato - Andosilla, Civita Castellana, Viterbo, Italy

    Fabio Cesare Campanile

  4. Department of Emergency Surgery, AOU Careggi, Firenze, Italy

    Carlo Bergamini

  5. UO di chirurgia Generale e Toracica, AOU Ferrara, Ferrara, Italy

    Gabriele Anania

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Perrone, G. et al. (2021). Cholangitis and Choledocholithiasis. In: Agresta, F., Podda, M., Campanile, F.C., Bergamini, C., Anania, G. (eds) Emergency laparoscopic surgery in the elderly and frail patient. Springer, Cham. https://doi.org/10.1007/978-3-030-79990-8_8

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  • DOI: https://doi.org/10.1007/978-3-030-79990-8_8

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