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Biliary

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Geriatric Trauma and Critical Care

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Abstract

As our Western population continues to age and life expectancy continues to increase, the elderly population will account for an escalating amount of health-care expenditure. As health-care providers, we must find ways to contain costs while simultaneously optimizing care of this special patient population. The most common causes of abdominal pain that requires surgical evaluation and treatment in the elderly are symptomatic biliary disease [1]. This is largely due to the fact that the incidence of cholelithiasis, particularly the symptomatic variant, increases with age [2] varying from 20 to 80 % [3, 4]. Early recognition is important due to the fact that elderly patients often present with a more complicated form of disease than their younger counterparts [5, 6]. Delays in treatment can often be precarious, leading to poor outcomes and subsequent increased use of resources. This chapter aims to review the epidemiology of biliary disease, physiologic changes associated with age progression, and the diagnostic work-up and management that will lead to optimal clinical care of elderly patients.

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Authors and Affiliations

  1. Division of Trauma, Emergency Surgery and Surgical Critical Care, Medical Director, Surgical Intensive Care Unit Bellevue Hospital Center, New York University School of Medicine, 462 First Avenue, NBV 15 S14, New York, NY, 10016-9196, USA

    Marko Bukur MD, FACS (Associate Professor of Surgery)

  2. Division Chief Trauma, Burns and Surgical Critical Care, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA

    Ali Salim MD, FACS (Professor of Surgery)

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Correspondence to Marko Bukur MD, FACS .

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  1. Department of Surgery, Stritch School of Medicine Loyola University of Chicago Edward Hines, Jr. Veterans Administration Medical Center, Maywood, Illinois, USA

    Fred A. Luchette

  2. Professor of Surgery, Hofstra School of Medicine Medical Director for Surgical and Perioperative Services, Southside Hospital/Northwell Health, Bay Shore, New York, USA

    Jay A. Yelon

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Bukur, M., Salim, A. (2017). Biliary. In: Luchette, F., Yelon, J. (eds) Geriatric Trauma and Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-48687-1_14

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