Gastroenterology clinics of North America
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Gastroenterol. Clin. North Am. · Sep 1992
ReviewChemotherapy in the management of malignant gastrointestinal disease.
Malignancies arising from the gastrointestinal tract represent a diversity of histologies and natural history. The role of chemotherapy in the multidisciplinary approach to these malignancies is reviewed in this article.
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Surgery, in particular laparoscopic cholecystectomy, will probably remain the preferred treatment for symptomatic gallbladder stones. It is unlikely that other methods of treatment, such as oral dissolution therapy or lithotripsy, can match the results and patient acceptance of this procedure. ⋯ Finally, severe gallstone pancreatitis will continue to be treated by early endoscopic sphincterotomy followed by cholecystectomy. Nevertheless, endoscopic sphincterotomy alone will be used more often as a definitive treatment to prevent recurrent attacks, especially in elderly patients who are poor candidates for cholecystectomy.
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Gastroenterol. Clin. North Am. · Jun 1990
Review Case Reports Comparative StudyDiverticular disease in the elderly.
The prevalence of diverticular disease shows a striking correlation with advancing age. The spectrum of disease ranges from the entirely asymptomatic to a life-threatening surgical emergency. The diagnosis of acute diverticulitis is often particularly difficult to make in the elderly because of muted symptoms and signs. Current concepts of diagnosis and therapy are discussed.