Patel K, et al. - Because acute pancreatitis is most commonly caused by gallstones in the elderly (age, 65 y or older), researchers used a representative population database to assess the results of acute biliary pancreatitis (ABP) among the elderly. For this investigation, they assessed all adult inpatients (18 y or older) with an index primary admission for ABP between 2011 and 2014 for clinical outcomes of mortality, severe acute pancreatitis (SAP), and 30-day readmission. Using multivariate and one-to-one propensity score-matched analyses, outcomes between age groups (≥65 vs <65 y) were compared. Of the 184,763 admissions to ABP, 41% were elderly people. In the elderly, index mortality and SAP rates were 1.96% and 21.5% respectively. The current national survey of elderly patients hospitalized with ABP reveals adverse clinical outcomes. As a result, effective management strategies are needed for this demographic as the aging population grows nationally.