Small-bowel tumors in the elderly 65+ years: 10 years of experience
| Autor: | Zdeněk Kala, Hana Meluzínová, Petr Kysela |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Laparoscopic surgery Enteroscopy medicine.medical_specialty Health (social science) medicine.medical_treatment Treatment outcome Small intestine tumor Resection Age Distribution Older patients Intestinal Neoplasms Intestine Small Humans Medicine Laparoscopy Aged Ultrasonography Aged 80 and over Gastrointestinal tract medicine.diagnostic_test business.industry General surgery fungi Age Factors food and beverages Surgery Issues ethics and legal aspects Treatment Outcome Female Geriatrics and Gerontology business Gerontology |
| Zdroj: | Zeitschrift für Gerontologie und Geriatrie. 41:403-407 |
| ISSN: | 1435-1269 0948-6704 |
| Popis: | Primary, secondary, benign or malignant tumorous diseases of the small intestine are rare. They are very often diagnosed by accident or as a cause of acute abdomen. Less serious symptoms can be overseen mainly in older patients. This work represents a prospective evaluation of a diagnostic and therapeutic algorithm in the management of the small-intestine tumor below the ligamentum Treitzi in patients over 65 years of age.A population of 96 patients who underwent surgery for a small-intestinal tumor in our hospital from 1996 to 2006 is presented. Thirty-four of these patients were older than 65 years. Ultrasound of the small intestine was sufficient to make the diagnosis in 21 of them. Elective surgery (laparoscopy was highly preferred) could be offered to 31 of these older patients. Perioperative mortality was zero.The small-bowel ultrasound can be recommended as the first choice method. All complaints regarding the gastrointestinal tract should be verified. Older patients can be safely offered an elective laparoscopic surgery with acceptable morbidity and mortality. |
| Databáze: | OpenAIRE |
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