Small bowel obstruction in the elderly: a plea for comprehensive acute geriatric care

Autor: Ekin Ozturk, Marianne van Iersel, Martijn MWJ Stommel, Yvonne Schoon, Richard RPG ten Broek, Harry van Goor
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: World Journal of Emergency Surgery, Vol 13, Iss 1, Pp 1-8 (2018)
Druh dokumentu: article
ISSN: 1749-7922
DOI: 10.1186/s13017-018-0208-z
Popis: Abstract Small bowel obstruction is one of the most frequent emergencies in general surgery, commonly affecting elderly patients. Morbidity and mortality from small bowel obstruction in elderly is high. Significant progress has been made in the diagnosis and management of bowel obstruction in recent years. But little is known whether this progress has benefitted outcomes in elderly patients, particularly those who are frail or have a malignancy as cause of the obstruction, and when considering quality of life and functioning as outcomes. In this review, we discuss the specific challenges and needs of elderly in diagnosis and treatment of small bowel obstruction. We address quality of life aspects and explore how the concept of geriatric assessment can be utilized to improve decision-making and outcomes for elderly patients with a small bowel obstruction.
Databáze: Directory of Open Access Journals
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