{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T22:04:17Z","timestamp":1722895457702},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Durch Gallensteine bedingte Krankheiten treten in h\u00f6herem Lebensalter h\u00e4ufiger auf.  In dieser Kurz\u00fcbersicht werden leitlinienbasierte Empfehlungen zur Diagnostik und Therapie bei Gallenwegserkrankungen im Alter zusammengefasst. Bili\u00e4re Koliken stellen grunds\u00e4tzlich eine Indikation zur Cholezystektomie dar, um Komplikationen des Gallensteinleidens zu vermeiden.  Bei der leichten und moderaten akuten Cholezystitis sollte auch bei \u00e4lteren Patienten Cholezystektomie m\u00f6glichst innerhalb von 24 Stunden nach der station\u00e4ren Aufnahme erfolgen. Bei der simultanen Choledocho- und Cholezystolithiasis oder unkomplizierten bili\u00e4ren Pankreatitis sollte sie nach der endoskopischen retrograden Cholangiografie mit Steinextraktion noch innerhalb desselben station\u00e4ren Aufenthalts durchgef\u00fchrt werden. Das erh\u00f6hte Risiko, in der Folge der Cholelithiasis ein Gallenblasen- oder Gallenwegskarzinom zu entwickeln, steigt mit dem Alter an, sodass die Cholezystektomie auch karzinompr\u00e4ventiv ist.<\/jats:p>","DOI":"10.1055\/s-0034-1366158","type":"journal-article","created":{"date-parts":[[2014,7,9]],"date-time":"2014-07-09T09:08:17Z","timestamp":1404896897000},"page":"447-449","source":"Crossref","is-referenced-by-count":1,"title":["Gallenwegserkrankungen im Alter"],"prefix":"10.1055","volume":"52","author":[{"given":"E.","family":"Heger","sequence":"first","affiliation":[{"name":"Medizinische Klinik II, Asklepios Klinik, Langen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Lammert","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin II, Universit\u00e4tsklinikum des Saarlandes, Homburg"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"f\u00fcr die Arbeitsgemeinschaft Geriatrische Gastroenterologie (AGGG) der 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