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[Intestinal occlusions in the elderly patient].

A Pannella1, G Pagaglia, F Laboranti

  • 1Dipartimento di Chirurgia, Università degli Studi di Pavia.

Minerva Chirurgica
|October 15, 1992
PubMed
Summary

This study on intestinal occlusion in elderly patients found that a comprehensive pre-, intra-, and postoperative management approach yielded satisfactory outcomes, including a low mortality rate for older adults.

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Area of Science:

  • Geriatric Medicine
  • Surgical Pathology
  • Gastroenterology

Context:

  • Intestinal occlusion (bowel obstruction) is a significant clinical challenge, particularly in elderly populations.
  • A comprehensive review of patients aged over 65 diagnosed with intestinal occlusion between 1974 and 1990 was conducted.
  • The study categorizes causes into non-neoplastic and neoplastic groups.

Purpose:

  • To evaluate the etiopathogenesis, treatment, and postoperative outcomes of intestinal occlusion in elderly patients.
  • To analyze the effectiveness of a multi-stage management strategy (pre-, intra-, and postoperative).
  • To compare the postoperative mortality rate with existing literature.

Summary:

  • The study analyzed 3rd and 4th age group patients (over 65) with intestinal occlusion.

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  • Etiopathogenesis was explored, distinguishing between non-neoplastic and neoplastic causes.
  • Surgical treatment and postoperative complications were examined, with a focus on outcomes and mortality.

    • Impact:

    • The findings suggest that the implemented management protocol leads to favorable results in elderly patients with intestinal occlusion.
    • The study highlights a relatively low postoperative mortality rate compared to other reported series.
    • This research contributes to optimizing care strategies for geriatric intestinal obstruction.