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Abstract
The spectrum for the differential diagnosis of jaundice is more limited in the aged than in younger patients. Obstruction is the usual cause. The history is as helpful as biochemical and other investigations in excluding the causes of nonobstructive jaundice.
The first principle in management is to bring the patient to an optimal state for operation by a planned program. Other principles are to define the obstruction at operation, to employ simple measures to overcome it, and to insure a postoperative course free of complication.