DIAGNOSTICS AND TREATMENT OF CHOLEDOCHOLITIASIS IN ELDERLY AND SENILE AGE PATIENTS

The most common complication of gallstone disease is choledocholithiasis. Among those suffering from choledocholithiasis, the main contingent of patients is made up of elderly and senile people. Endoscopic papillosphincterotomy (EPST) and stone extraction are the surgery of choice in patients with choledocholithiasis. When performing EPST, the greatest difficulties were observed in patients with a point-shaped papilla, with a parapapillary and especially with an intra-diverticular arrangement of the OBD. The analysis of the results showed that in case of choledocholithiasis of elderly and senile age, a full-fledged study and the use of minimally invasive low-traumatic interventions are required as much as possible.