{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:21:08Z","timestamp":1760188868095},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[1987,9,1]],"date-time":"1987-09-01T00:00:00Z","timestamp":557452800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1987,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Sixty-four gallstone patients aged 75 or more (mean age 83 \u00b1 5.1 years) were divided prospectively into two groups. They were mostly high-risk patients (average number of major risk factors, 2.2\u00b10.9). Thirty-three showed one or several signs of lithiasis of the common bile duct and were treated with endoscopic sphincterotomy (ES) (31 successful cases, two technical problems) followed by early cholecystectomy (33 cases). Choledocholithiasis was present in 26 cases and stones were extracted in 25 cases. Two patients (6 per cent) died. ES caused no complications. Thirty-one other patients showed no sign of choledocholithiasis and were treated by cholecystectomy with operative cholangiography. Choledocholithiasis was found in two of these patients and treated by extraction and external drainage. Five of these patients (16 per cent) died. I n 30 cases acute cholecystitis was found at operation, 15 in each group. E S is therefore an eficient procedure in highksk patients, which facilitates operation, especially in cases of acute cholecystitis, and it is recommended in all cases of complicated biliary lithiasis. Early cholecystectomy is justified for these patients by the high frequency of associated acute cholecystitis.<\/jats:p>","DOI":"10.1002\/bjs.1800740933","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T10:27:40Z","timestamp":1172917660000},"page":"848-849","source":"Crossref","is-referenced-by-count":16,"title":["Biliary lithiasis in the over seventyfive group: A new therapeutic strategy"],"prefix":"10.1093","volume":"74","author":[{"given":"J J","family":"Duron","sequence":"first","affiliation":[{"name":"Service de Chirugeie Visc\u00e9rale, H\u00f4pital Jean Rostand , 39\u201341 rue Jean Le Galleu, 94200 Ivry sur Seine,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J M","family":"Roux","sequence":"additional","affiliation":[{"name":"Service de Chirugeie Visc\u00e9rale, H\u00f4pital Jean Rostand , 39\u201341 rue Jean Le Galleu, 94200 Ivry sur Seine,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Imbaud","sequence":"additional","affiliation":[{"name":"Service de Chirugeie Visc\u00e9rale, H\u00f4pital Jean Rostand , 39\u201341 rue Jean Le Galleu, 94200 Ivry sur Seine,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J L","family":"Dumont","sequence":"additional","affiliation":[{"name":"Service de Chirugeie Visc\u00e9rale, H\u00f4pital Jean Rostand , 39\u201341 rue Jean Le Galleu, 94200 Ivry sur Seine,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Dutet","sequence":"additional","affiliation":[{"name":"Service de Chirugeie Visc\u00e9rale, H\u00f4pital Jean Rostand , 39\u201341 rue Jean Le Galleu, 94200 Ivry sur Seine,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Validire","sequence":"additional","affiliation":[{"name":"Service de Chirugeie Visc\u00e9rale, H\u00f4pital Jean Rostand , 39\u201341 rue Jean Le Galleu, 94200 Ivry sur Seine,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1987,9,1]]},"reference":[{"key":"2024092719521042800_bib1","first-page":"34","article-title":"Facteurs de gravit\u00e9 de la lithiase de la voie biliaire principale apr\u00e8s 75 ans","volume":"107","author":"Inglesakis","year":"1981","journal-title":"Chirurgie"},{"key":"2024092719521042800_bib2","first-page":"547","article-title":"Chirurgie des voies biliaires du sujet ag\u00e9 de 75 ans et plus","volume":"135","author":"Duron","year":"1985","journal-title":"Ann Med Int"},{"key":"2024092719521042800_bib3","first-page":"647","article-title":"La lithiase biliaire apr\u00e8s 75 ans. 100 cas op\u00e9r\u00e9s","volume":"11","author":"Moreaux","year":"1982","journal-title":"Nouv Presse Med"},{"key":"2024092719521042800_bib4","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1002\/bjs.1800660605","article-title":"Exploration of the common bile duct: a comparative study","volume":"66","author":"Vellacott","year":"1979","journal-title":"Br J Surg"},{"key":"2024092719521042800_bib5","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1002\/bjs.1800720327","article-title":"Cholecys-tectomy in the elderly: a prospective study","volume":"72","author":"Houghton","year":"1985","journal-title":"Br J Surg"},{"key":"2024092719521042800_bib6","doi-asserted-by":"crossref","first-page":"988","DOI":"10.1002\/bjs.1800731214","article-title":"Management of acute cholangitis and the impact of endoscopic sphincterotomy","volume":"73","author":"Leese","year":"1986","journal-title":"Br J Surg"},{"key":"2024092719521042800_bib7","first-page":"51","article-title":"Resultats de la sphinct\u00e9rotomie endoscopique pour lithiase de la voie biliaire principale","volume":"9","author":"Liguory","year":"1985","journal-title":"Gastroenterol Clin Biol"},{"key":"2024092719521042800_bib8","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1002\/bjs.1800720325","article-title":"Successes, failures, early complications and their management following endoscopic sphincterotomy; 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