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Appendicitis in the aged. Is it really different?

H R Freund, E Rubinstein

    The American Surgeon
    |October 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Appendicitis in older adults presents similarly to younger patients but progresses faster to perforation and abscess. Early surgical intervention is crucial for reducing mortality and morbidity in the aged.

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    Area of Science:

    • Geriatric Medicine
    • Surgical Gastroenterology

    Background:

    • Acute appendicitis is a common surgical emergency.
    • The presentation and outcomes of appendicitis in elderly patients (aged 60 years and older) require specific consideration due to potential differences in disease progression and surgical risk.

    Purpose of the Study:

    • To analyze the clinical presentation, surgical findings, and outcomes of acute appendicitis in elderly patients.
    • To determine if the clinical picture of appendicitis differs in the aged compared to younger populations.
    • To identify strategies for improving outcomes in elderly patients with appendicitis.

    Main Methods:

    • Retrospective analysis of case reports, operative findings, and surgical results.
    • Inclusion of 77 patients aged 60 years and older with histologically confirmed acute appendicitis.

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    Main Results:

    • The clinical presentation of appendicitis in the aged is similar to that in younger patients.
    • Appendicitis in elderly patients demonstrates a more rapid progression towards perforation and abscess formation.
    • Higher rates of complications like perforation and abscess formation were observed in the aged cohort.

    Conclusions:

    • An aggressive diagnostic approach is recommended for suspected appendicitis in the elderly.
    • Early surgical intervention is essential to mitigate the increased risks of mortality and morbidity associated with appendicitis in older adults.
    • Prompt surgical management is the most effective strategy to improve outcomes for geriatric appendicitis patients.