Indications for emergency surgery for perforated diverticulitis in elderly Japanese patients ≥80 years of age.
Surg Today
; 43(10): 1150-3, 2013 Oct.
Article
en En
| MEDLINE
| ID: mdl-23420094
ABSTRACT
PURPOSE:
Perforated diverticulitis (PD) remains a serious acute abdominal condition. The aim of this study was to evaluate indications for emergency surgery in patients ≥80 years of age with PD.METHOD:
Twenty patients ≥80 years of age and 28 younger patients who underwent emergency surgery for PD from January 2002 to December 2011 were studied. The demographics and postoperative outcomes were compared.RESULTS:
The preoperative characteristics, mortality rate, and postoperative complications were similar between these two groups. All seven patients ≥80 years of age with an American Society of Anesthesiologists (ASA) score of 2 survived after surgery. All five patients with a Mannheim peritonitis index (MPI) score of ≥26 in the elderly group died after surgery. There were significant associations between the mortality, the MPI and ASA score in patients ≥80 years of age.CONCLUSIONS:
Best supportive care may be an alternative for patients ≥80 years of age with PD, an ASA score of ≥3 or an MPI score of ≥26.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos del Sistema Digestivo
/
Índice de Severidad de la Enfermedad
/
Indicadores de Salud
/
Diverticulitis del Colon
/
Tratamiento de Urgencia
/
Perforación Intestinal
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Límite:
Aged80
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Surg Today
Año:
2013
Tipo del documento:
Article