Document Detail


Emergency surgery for complicated colorectal carcinoma: a comparison of older and younger patients.
MedLine Citation:
PMID:  18402124     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The outcomes after emergency surgery for complicated colorectal cancer of 54 patients >70 years of age (group 1) and 53 patients < or =70 years of age (group 2) treated between 1991 and 2002 were compared. Forty-two patients had obstructions in group 1 and 41 patients had obstructions in group 2. Twelve patients had perforations in each group. Significantly higher ASA grading and APACHE II scores were seen in group 1. The overall and major morbidity and mortality rates in groups 1 and 2 were 81.5% and 58.5% (P = 0.009), 42.6% and 24.6% (P = 0.04), and 27.8% and 1.9% (P = 0.000), respectively. It was concluded that the outcome in older patients who underwent emergency surgery for complicated colorectal carcinoma was poor compared with that of younger patients. Careful preoperative assessment of the patient's general condition and intensive treatment after surgery in those with a poor physical status are recommended.
Authors:
José A Alvarez; Ricardo F Baldonedo; Isabel G Bear; Nuria Truán; Gerardo Pire; Paloma Alvarez
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  International surgery     Volume:  92     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    2007 Nov-Dec
Date Detail:
Created Date:  2008-04-11     Completed Date:  2008-06-17     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  320-6     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Hospital San Agustin, Avilés, Spain. josealvar@telecable.es
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Aged, 80 and over
Colectomy
Colorectal Neoplasms / mortality,  surgery*
Colostomy
Emergencies
Female
Humans
Male
Middle Aged
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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