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February 20, 1991, Vol 265, No. 7 >
ARTICLE | February 20, 1991

The Prevalence of Gallstone Disease in Very Old Institutionalized Persons FREE

Jack Ratner, MD; Andre Lisbona, MD; Marvin Rosenbloom, MD; Max Palayew, MD; Sharon Szabolcsi, RN; Tessie Tupaz, RN
[+] Author Affiliations

Reprint requests to Director of Professional Services, Maimonides Hospital Geriatric Centre, 5795 Caldwell Ave, Montreal, Quebec, Canada H4W1W3 (Dr Ratner).


JAMA. 1991;265(7):902-903. doi:10.1001/jama.1991.03460070084048
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References

We present the results of a study that was undertaken at a large geriatric nursing home to assess the prevalence of gallstone disease in very old institutionalized persons. One hundred seventeen residents underwent ultrasound examination of the gallbladder. Two thirds of 82 women and half of 35 men had gallstone disease. When stratified for age, 80% of women and men over the age of 90 years were positive for the disease. In summary, the prevalence of gallstone disease in our very old nursing home population was found to be unexpectedly high.

(JAMA. 1991;265:902-903)

REFERENCES

1 +
Longino CF.  Who are the oldest Americans? Gerontologist. 1988;;28:515-523.
2 +
Rosenwaike AM, Dolinsky A.  The changing demographic determinants of the growth of the extreme aged . Gerontologist. 1987;;27:275-280.
3 +
Low-Beer TS.  Gallbladder disease and gallstones . In: Isaacs B, ed. Recent Advances in Geriatric Medicine . New York, NY: Churchill Livingstone Inc; 1985;:37-55.
4 +
Fenyo G.  Acute abdominal disease in the elderly . Am J Surg. 1982;;143:751-754.
5 +
Clinch D, Banerjee AK, Ostick G.  Absence of abdominal pain in elderly patients with peptic ulcer . Age Ageing. 1984;;13:120-123.
6 +
Janzon L, Aspelin P, Eriksson S, Hildell J, Trell E, Ostberg H.  Ultrasonographic screening for gallstone disease in middle-aged women: detection rate, symptoms, and biochemical features . Scand J Gastroenterol. 1985;;20:706-710.
7 +
Mogensen NB, Madsen M, Stage P, et al.  Ultrasonography versus roentgenography in suspected instances of cholecystolithiasis . Surg Gynecol Obstet. 1984;;159:353-356.
8 +
Glambe KI, Kvaale G, Arnesjø B, Søreide O.  Prevalence of gallstones in a Norwegian population . Scand J Gastroenterol. 1987;;22:1089-1094.
9 +
Zahor Z, Sternby NH, Kazan A, Uemura K, Vanecek R, Vichert AM.  Frequency of cholelithiasis in Prague and Malmö: an autopsy study . Scand J Gastroenterol. 1974;;9:3-7.
10 +
Vitetta L, Sali A, Chou ST, Fleming H, Little P, Elzarka A.  Gallstones at autopsy and cholecystectomy: a comparative study . Aust N Z J Surg. 1988;;58:561-568.
11 +
Bateson MC, Bouchier IAD.  Prevalence of gallstones in Dundee: a necropsy study . BMJ. 1975;;4:427-430.
12 +
Grundy SM, Kaiser SG.  Highlights of the meeting on prevention of gallstones . Hepatology. 1987;;7:946-951.
13 +
Strom BL, West SL.  The epidemiology of gallstone disease . In: Cohen S, Soloway RD, eds. Gallstones . New York, NY: Churchill Livingstone Inc; 1985;:1-26.
14 +
Einarsson K, Nilsell K, Leijd B, Angelin B.  Influence of age on secretion of cholesterol and synthesis of bile acids by the liver . N Engl J Med. 1985;;313:277-282.
15 +
Gilat T, Horwitz C, Halpern Z, Bar Itzhak A, Feldman C.  Gallstones and diet in Tel Aviv and Gaza . Am J Clin Nutr. 1985;;41:336-342.
16 +
Lichtarowicz AM, Mayberry JF.  Gastrointestinal disease among Polish migrants in Nottingham . J R Soc Med. 1987;;80:692-693.
17 +
Glambek I, Arnesjo B, Soreide O.  Correlation between gallstones and abdominal symptoms in a random population . Scand J Gastroenterol. 1989;; 24:277-281.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Longino CF.  Who are the oldest Americans? Gerontologist. 1988;;28:515-523.
2 +
Rosenwaike AM, Dolinsky A.  The changing demographic determinants of the growth of the extreme aged . Gerontologist. 1987;;27:275-280.
3 +
Low-Beer TS.  Gallbladder disease and gallstones . In: Isaacs B, ed. Recent Advances in Geriatric Medicine . New York, NY: Churchill Livingstone Inc; 1985;:37-55.
4 +
Fenyo G.  Acute abdominal disease in the elderly . Am J Surg. 1982;;143:751-754.
5 +
Clinch D, Banerjee AK, Ostick G.  Absence of abdominal pain in elderly patients with peptic ulcer . Age Ageing. 1984;;13:120-123.
6 +
Janzon L, Aspelin P, Eriksson S, Hildell J, Trell E, Ostberg H.  Ultrasonographic screening for gallstone disease in middle-aged women: detection rate, symptoms, and biochemical features . Scand J Gastroenterol. 1985;;20:706-710.
7 +
Mogensen NB, Madsen M, Stage P, et al.  Ultrasonography versus roentgenography in suspected instances of cholecystolithiasis . Surg Gynecol Obstet. 1984;;159:353-356.
8 +
Glambe KI, Kvaale G, Arnesjø B, Søreide O.  Prevalence of gallstones in a Norwegian population . Scand J Gastroenterol. 1987;;22:1089-1094.
9 +
Zahor Z, Sternby NH, Kazan A, Uemura K, Vanecek R, Vichert AM.  Frequency of cholelithiasis in Prague and Malmö: an autopsy study . Scand J Gastroenterol. 1974;;9:3-7.
10 +
Vitetta L, Sali A, Chou ST, Fleming H, Little P, Elzarka A.  Gallstones at autopsy and cholecystectomy: a comparative study . Aust N Z J Surg. 1988;;58:561-568.
11 +
Bateson MC, Bouchier IAD.  Prevalence of gallstones in Dundee: a necropsy study . BMJ. 1975;;4:427-430.
12 +
Grundy SM, Kaiser SG.  Highlights of the meeting on prevention of gallstones . Hepatology. 1987;;7:946-951.
13 +
Strom BL, West SL.  The epidemiology of gallstone disease . In: Cohen S, Soloway RD, eds. Gallstones . New York, NY: Churchill Livingstone Inc; 1985;:1-26.
14 +
Einarsson K, Nilsell K, Leijd B, Angelin B.  Influence of age on secretion of cholesterol and synthesis of bile acids by the liver . N Engl J Med. 1985;;313:277-282.
15 +
Gilat T, Horwitz C, Halpern Z, Bar Itzhak A, Feldman C.  Gallstones and diet in Tel Aviv and Gaza . Am J Clin Nutr. 1985;;41:336-342.
16 +
Lichtarowicz AM, Mayberry JF.  Gastrointestinal disease among Polish migrants in Nottingham . J R Soc Med. 1987;;80:692-693.
17 +
Glambek I, Arnesjo B, Soreide O.  Correlation between gallstones and abdominal symptoms in a random population . Scand J Gastroenterol. 1989;; 24:277-281.

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