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- W2000550691 abstract "Obstructive jaundice is among the most frequent indications for abdominal operation upon the elderly. The cases of fifty-six patients seventy years of age or older who came to operation because of jaundice are reviewed. Slightly less than one-third of these patients harbored malignancies. In none of these was a curable lesion found. Palliation was achieved only by direct decompression of the common duct. Internal decompression was most successful, but choledochostomy was adequate in two of six patients. In the patients with benign disease a curative procedure was preferable, but cholecystostomy was often a valuable preliminary step, and occasionally it was all that was needed. Cholecystostomy performed to relieve jaundice must adequately decompress the common duct, and must be abandoned in favor of direct drainage of the common duct when it does not accomplish this. There was a high incidence of unrelated medical disorders requiring careful preoperative evaluation and treatment. The duration of jaundice prior to operation had no influence on mortality or morbidity. Hence there is no justification for rushing the elderly patient to surgery merely because of the development of obstructive jaundice. The elderly patients with benign disease had a mortality of 26 per cent, and a high incidence of nonfatal complications. Many of these unfortunate results could have been avoided had elective surgery been undertaken soon after the onset of the first symptoms of biliary tract disease." @default.
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- W2000550691 date "1962-10-01" @default.
- W2000550691 modified "2023-09-26" @default.
- W2000550691 title "Obstructive jaundice in the elderly patient" @default.
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- W2000550691 doi "https://doi.org/10.1016/0002-9610(62)90400-2" @default.
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