RESUMEN
OBJECTIVE: To evaluate the influence of age on the morbi-mortality after non-elective colorectal surgery. DESIGN: Retrospective analysis. SUBJECTS: 150 consecutive patients who underwent non-elective colorectal surgery between 1986 and 1992 [65 patients aged under 70 years (Group I)] and 85 patients aged 70 years or over (Group II)]. RESULTS: Using multiple regression analysis we have found: 1) Mortality is determined by the presence of associated risk factors (p < 0.001 tv = 4.11), the presence of peritonitis (p < 0.05 tv = 2.08) and by the admission-operation interval (p < 0.05 tv = 2.10). 2) Overall morbidity increases with age (p < 0.01, tv = 3.22) and the benign nature of the colorectal disease (p < 0.05, tv = 2.00). CONCLUSION: Age does not influence mortality in non-elective colorectal surgery even though it is a determinant risk factor in morbidity increase.
Asunto(s)
Neoplasias Colorrectales/cirugía , Factores de Edad , Anciano , Neoplasias Colorrectales/mortalidad , Neoplasias Colorrectales/patología , Urgencias Médicas , Femenino , Mortalidad Hospitalaria , Humanos , Masculino , Estadificación de Neoplasias , Estudios Retrospectivos , Factores de Riesgo , España/epidemiología , Estadística como AsuntoRESUMEN
Two cases of intussusception of the appendix are reported. The first case stands out for its rarity, corresponding exclusively to intussusception of appendicular mucosa. The second case was due to cystoadenoma of the appendix. Both cases were treated by right hemicolectomy due to the difficulty of diagnosing the condition.
Asunto(s)
Apéndice , Intususcepción , Anciano , Enfermedades del Ciego/diagnóstico , Enfermedades del Ciego/cirugía , Femenino , Humanos , Mucosa Intestinal , Intususcepción/diagnóstico , Intususcepción/cirugíaRESUMEN
Two cases of multiple idiopathic ulcers of the small intestine are reported, which were found in two aged patients with a significant history of vascular pathology. Despite this, the pathological examination of the surgical specimens could not demonstrate a vascular origin of such lesions.
Asunto(s)
Intestino Delgado , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Enfermedades Intestinales/etiología , Úlcera/etiologíaRESUMEN
We present a case of gastrointestinal bleeding due to vascular malformation (Osler-Weber-Rendu disease), without cutaneous manifestations but with mucous manifestations and familiar and personal history of epistaxis. Until diagnosis, the patient underwent multiple radiologic and endoscopic tests and two surgical procedures. We would underline the diagnostic and therapeutic difficulty of recurrent gastrointestinal bleeding secondary to vascular malformation.