Dilatation of the common bile duct in the elderly may be due to the presence of tumors or bile duct stones, or congenital dilatation of the bile duct. According to different reasons, we need to choose the treatment such as drug treatment, regular review or surgery.
1. Tumor: when the elderly have dilated common bile duct, it may be due to cholangiocarcinoma, occupational lesion of duodenal jugular abdomen, pancreatic head tumor, etc. If it is caused by the above reasons, it may be due to bile duct dilatation or bile duct stones.
If the dilatation of common bile duct is caused by the above reasons, it is necessary to further clarify the diagnosis through abdominal CT examination, pancreaticobiliary MRI, etc., and then receive pancreaticoduodenectomy, radiotherapy, chemotherapy (such as cisplatin, gemcitabine, etc.) and other treatments.
2. Choledocholithiasis: choledocholithiasis causes bile duct obstruction, at this time, the main focus on relieving bile duct obstruction, through the endoscopic retrograde cholangiopancreatography (ERCP) to remove the stone, or choledochotomy and lithotripsy to relieve the bile duct obstruction.
3. Congenital bile duct dilatation: if the elderly patients have no obvious symptoms, continue regular review can be, such as repeated jaundice, abdominal pain and other symptoms, it is recommended to carry out choledochotomy and other treatments.
Elderly patients found choledochal dilatation, it is recommended that patients go to the regular hospital as soon as possible to avoid delay in diagnosis and treatment. Drugs should be applied under the guidance of a doctor.