Developing guidelines in geriatric surgery: role of the grade system

Rispoli, Corrado; Rocco, Nicola; Iannone, Loredana; Compagna, Rita; Magistris, Luigi De; Braun, Antonio; Amato, Bruno

doi:10.1186/1471-2318-9-s1-a98

Cited by 38 publications

(45 citation statements)

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“…Bariatric surgery is currently indicated for patients with morbid obesity and most guidelines suggest to include patients with a BMI >40 kg/m 2 or a BMI >35 kg/m 2 with comorbidities such as cardiorespiratory disease, T2DM, sleep apnoea, and severe osteoarthritis, which are expected to improve by surgically induced weight loss [5]. While age limitations between 18 and 50 stated by the NIH Consensus Conferences in 1991 were widened over time to age 60 [5,10,11], Dorman et al [12] showed that patients age 65 or older undergoing bariatric surgery in the USA increased from the year 2005e2009.…”

Section: Discussionmentioning

confidence: 99%

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Bariatric surgery in elderly patients. A comparison between gastric banding and sleeve gastrectomy with five years of follow up

Musella

Milone

Maietta

et al. 2014

International Journal of Surgery

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Bariatric surgery is safe and effective to reach obesity related comorbidities resolution among elderly obese patients. Both LAGB and LSG determine a weight loss lesser than observed in a standard bariatric population. In this study LSG is significantly less cost effective than LAGB. Larger studies with longer follow up are however needed to evaluate the real impact of bariatric surgery on weight loss, resolution of comorbidities and improvement of quality of life in elderly obese patients.

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Section: Discussionmentioning

confidence: 99%

“…Obesity causes serious medical complications, which lead to considerable morbidity, impaired quality of life, and premature death. Furthermore the prevalence of many of the medical complications associated with obesity such as diabetes and hypertension increases with age [4,5].…”

Section: Introductionmentioning

confidence: 99%

Bariatric surgery in elderly patients. A comparison between gastric banding and sleeve gastrectomy with five years of follow up

Musella

Milone

Maietta

et al. 2014

International Journal of Surgery

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“…In addition, some studies showed that the presence of a stoma also has a major negative impact on the quality of life (Rispoli et al, 2009). However, other studies failed to show a statistically significant difference in the quality of life of patients who had stoma and those who underwent a sphincter-saving resection (Smith-Gagen et al, 2010;Campos-Lobato et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Quality of Life and Psychological Well-Being of Colorectal Cancer Survivors in Jordan

Abu-Helalah

Alshraideh²,

Al-Hanaqta³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…Az epehólyag-kövesség előfordulási gyakorisága az életkor előrehaladásával robbanásszerűen nő [1], a 70 év feletti korcsoportban a nők 50%-ánál, a fér-fiak 16%-ánál igazolható cholelithiasis [2,3], ugyanakkor a 80 év feletti betegeknél epehólyag-kövesség miatt végzett műtétek kimeneteléről, kockázati tényezőikről, perioperatív morbiditási és mortalitási adataikról, a vá-lasztandó műtéti típusról alig vannak adatok.…”

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A laparoszkópia szerepe a 80 évesnél idősebb betegek epekövességének megoldásában

et al. 2016

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Bevezetés: Az epehólyag-kövesség előfordulási gyakorisága az életkorral nő, azonban a 80 év feletti betegek műtétjei-nek kimeneteléről alig vannak adatok. A társadalom elöregedésével a kérdés egyre időszerűbb. Célkitűzés: A 80 éves-nél idősebb betegeknél végzett akut és elektív cholecystectomiák elemzése. Módszer: A szerzők az elmúlt hat évben a 80 évesnél idősebb, cholelithiasis miatt operált betegeknél a műtét típusát, a konverzió arányát, a szövődmények gyakoriságát, a posztoperatív mortalitást, az intenzív osztályos és kórházi ápolási napok számát vizsgálták retrospektíven. Eredmények: A vizsgált időszakban a 69 elektív, 51 akut műtétet végeztek, utóbbiak 9,8%-ánál pancreatitist, 14%-ánál májtályogot, 27%-ánál choledocholithiasist találtak. Az elektív csoport 84%-ánál, míg az akut csoport 17,7%-ánál sikerült az epehólyag laparoszkópos eltávolítása. Az intenzív osztályos 9,1 vs. 1 nap, a teljes kórházi ápo-lás 12 vs. 3,6 nap volt az akut, illetve tervezett műtétnél. A sürgősséggel operált betegeknél a mortalitás 20% és a reoperáció 16% volt, elektív betegeknél egyik sem fordult elő. Következtetések: A laparoszkópos cholecystectomia idős betegek tervezett műtéteinél kiváló eredménnyel alkalmazható, ezért cholelithiasis esetén 80 év feletti betegeknél is törekedni kell az elektív műtétre. Orv. Hetil., 2016, 157(5), 185-190. Kulcsszavak: cholecystectomia, laparoszkópia, idős, morbiditás, mortalitásThe role of laparoscopy in cholecystectomy in patients with age of 80 or above Introduction: The incidence of cholelithiasis increases with age, however, there is still little data about the outcomes of cholecystectomy in patients with age of 80 and above. Population ageing presents tremenduous challenges for surgeons. Aim: The aim of the authors was to compare emergency and elective cholecystectomies performed in these elderly patients. Method: This retrospective study was based on the analysis of operation type, conversion rate, complications, mortality, length of hospital stay of all patients over 80 who underwent cholecystectomy in the last 6 years at the 1st Department of Surgery, Semmelweis University. Results: 69 elective and 51emergency operations were performed. In the emergency group pancreatitis was found in 9.8%, liver abscess in 14%, and common bile duct stones in 27% of the patients on admission. Laparoscopic cholecystectomy could be performed in 84% of patients in the elective group, while in 17.7% of patients in the emergency group. The length of stay at the intensive care unit was 9.1 and 1 days, while the total length of hospital stay was 12 and 3.6 days for the elective and emergency groups, respectively. In the emergency group mortality was 20% and reoperation was performed in 16% of patients, while at the elective group none of these occured. Conclusion: Laparoscopic cholecystectomy is safe as elective surgery for patients with age of 80 and above. For this reason the authors recommend elective cholecystectomy in this age group.

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Developing guidelines in geriatric surgery: role of the grade system

Cited by 38 publications

References 0 publications

Bariatric surgery in elderly patients. A comparison between gastric banding and sleeve gastrectomy with five years of follow up

Bariatric surgery in elderly patients. A comparison between gastric banding and sleeve gastrectomy with five years of follow up

Quality of Life and Psychological Well-Being of Colorectal Cancer Survivors in Jordan

A laparoszkópia szerepe a 80 évesnél idősebb betegek epekövességének megoldásában

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