[Ischemic heart disease and acute cholecystitis in elderly and very old patients]
Klinicheskaia Khirurgiia
|January 1, 1991
Insights
Endoscopic interventions for acute cholecystitis are effective in elderly patients with ischemic heart disease. Careful preoperative preparation and individualized treatment approaches ensure positive outcomes.
Area of Science:
- Cardiology
- Gastroenterology
- Geriatrics
Context:
- Elderly patients with ischemic heart disease often present complex challenges for acute cholecystitis treatment.
- Traditional surgical approaches may carry higher risks in this vulnerable population.
Purpose:
- To analyze the effectiveness of endoscopic interventions for acute cholecystitis in elderly patients with ischemic heart disease.
- To evaluate the impact of atraumatic endoscopic techniques and tailored preoperative management on treatment outcomes.
Summary:
- A study of 127 elderly patients with ischemic heart disease undergoing endoscopic intervention for acute cholecystitis demonstrated positive treatment results.
- Key factors contributing to success included atraumatic endoscopic procedures, individualized treatment selection, and optimized preoperative preparation with cardiac support medications.
Impact:
- Endoscopic interventions offer a safe and effective treatment option for acute cholecystitis in elderly patients with concurrent ischemic heart disease.
- This approach minimizes risks associated with traditional surgery, improving patient recovery and quality of life.
Abstract:
The effectiveness of treatment of 127 elderly and senile patients suffering from the ischemic heart disease, who underwent the endoscopic interventions for acute cholecystitis, have been analysed. Atraumaticity of endoscopic interventions, individual approach to the choice of a method for treatment of a patient and agreed with a therapeutist preoperative preparation, including prescription of the coronaro-active agents, cardiac glycosides, permitted in the majority of patients to achieve a positive result of treatment.
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