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Related Experiment Videos

Gastrointestinal tumours in elderly.

P Sperlongano1, D Pisaniello, D Parmeggiani

  • 1Department of Anesthesiology, Surgery and Emergency Medicine - V Division of General and Applied Surgery Technology, II University of Naples, Naples, Italy.

Acta Bio-Medica : Atenei Parmensis
|February 3, 2006
PubMed
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Radical surgery for gastrointestinal neoplasms in elderly patients (70-81 years) is feasible. Careful pre- and post-operative management ensures positive outcomes, demonstrating age is not a surgical barrier.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Geriatric Medicine

Background:

  • Gastrointestinal neoplasms are a significant health concern, particularly in aging populations.
  • Surgical intervention is a primary treatment modality for these cancers.
  • The safety and efficacy of radical surgery in elderly patients require careful evaluation.

Purpose of the Study:

  • To assess the outcomes of radical surgery for gastrointestinal neoplasms in patients aged 70-81 years.
  • To evaluate anaesthesiological risk, disease stage, and post-operative outcomes.
  • To determine if advanced age contraindicates or limits surgical options for these patients.

Main Methods:

  • Retrospective analysis of 129 cases of gastric, colonic, and anorectal neoplasms.

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  • Patients aged 70-81 years who underwent radical surgery were included.
  • Evaluation focused on anaesthesiological risk, tumor stage, post-operative mortality, and morbidity.

    • Main Results:

    • The study included 129 elderly patients (70-81 years) with gastrointestinal neoplasms.
    • Key factors analyzed included anaesthesiological risk, tumor stage, and post-operative complications.
    • Outcomes suggest that elderly patients can tolerate radical surgery well with appropriate care.

    Conclusions:

    • Advanced age (70-81 years) is not an absolute contraindication for radical surgery in gastrointestinal neoplasms.
    • Strict and correct pre- and post-operative management is crucial for successful surgical outcomes in this demographic.
    • Elderly patients can benefit from surgical intervention for gastrointestinal cancers when managed meticulously.