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[Palliative minimally invasive therapy in inoperable elderly patients]
1Medizinische Klinik C, Klinikums der Stadt Ludwigshafen/Rhein.
Zeitschrift Fur Gerontologie
|September 1, 1992
Summary
Palliative endoscopic therapies are safe and effective for patients over 80, offering minimal invasive options for gastrointestinal stenosis, nutrition, and jaundice. These procedures show complication and mortality rates comparable to younger patients, making them strongly indicated for inoperable elderly individuals.
Area of Science:
- Gastroenterology
- Geriatric Medicine
- Interventional Endoscopy
Context:
- Retrospective analysis of palliative endoscopic procedures in patients aged 80 and above.
- Study period: 26 months (January 1, 1990 – February 29, 1992).
- Focus on inoperable patients with advanced diseases unsuitable for surgery.
Purpose:
- To evaluate the efficacy and safety of endoscopic interventions in elderly patients.
- Aims included recanalization of gastrointestinal stenoses, long-term enteral nutrition, and palliation of malignant obstructive jaundice.
- Assessment of complication and lethality risks in this specific demographic.
Summary:
- Eighty-nine patients over 80 underwent various endoscopic procedures: bougienage, laser therapy, esophageal stent placement, percutaneous endoscopic gastrostomy (PEG), and biliary endoprosthesis insertion.
- Procedures aimed to alleviate symptoms and improve quality of life in patients with limited surgical options.
- The study analyzed the outcomes of these minimal invasive interventions.
Impact:
- Endoscopic procedures demonstrated a low complication rate (2.9%) and lethality risk (0.9%), not exceeding those in younger patients.
- Minimal invasive endoscopic therapies are strongly indicated for inoperable elderly patients.
- These procedures can effectively eliminate or significantly reduce symptoms, with potential for repeated application.