Clinical Evaluation of Gastro-intestinal Emergency Operations for Elderly Patients over 80 Years
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概要
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Purpose:We reviewed the outcome of gastro-intestinal emergency operations performed for elderly patients to evaluate the associated problems and to develop optimal treatment strategies.Methods:The subjects in the current study included 38 patients over 80 years of age who underwent emergency gastro-intestinal surgical procedures over for the past 5 years. The patients were divided into two groups, those with and without post-operative complications (POC). Perioperative parameters, and E-PASS score as well as POSSUM score were compared.Results:Most POC were included infectious diseases. The patients with the diagnosis of gastrointestinal perforation or those who had undergone intestinal resection had significantly higher incidence of POC as compared to those without. As for the scoring systems, significant difference between the two groups was achieved only in the Portsmouth POSSUM score.Conclusions:Our data suggest that timely treatment of postoperative infection, especially pulmonary infection is important, and the Portsmouth-POSSUM score seems to be useful for estimating the outcome.
- 日本外科系連合学会の論文
日本外科系連合学会 | 論文
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