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Article
June 1989

Results of Operative Treatment of Gastrointestinal Tract Tumors in Patients Over 80 Years of Age

Author Affiliations

From the Department of Surgery, University Hospital, Geneva.

Arch Surg. 1989;124(6):662-664. doi:10.1001/archsurg.1989.01410060024004
Abstract

• Between 1981 and 1986, 140 patients over 80 years of age were operated on for a gastrointestinal tract tumor in our service. There were 24 gastric, one small-bowel, 91 colonic, and 24 rectal cancers. Only 40% of the patients were preoperatively free of any systemic disorder other than tumor. We performed surgical procedures with a curative intent for 90 (64%) of them. Our mean overall postoperative mortality was 17%, but this rate could be decreased by performing elective operations on well-prepared patients. Over 80% of the deaths were related to systemic organ failures. Eighty-three percent of the survivors (96 patients) returned to their homes; 82% (94 patients) had normal activities for their age. The actuarial survival curve showed a 50% survival rate at three years, all tumoral stages included. These results support the view that surgery is a safe, valid option in the face of gastrointestinal tract tumors in the elderly.

(Arch Surg 1989;124:662-664)

References
1.
Stromborg M:  Early detection of cancer in the elderly: Problems and solutions . Int J Nurs Stud 1982;19:139-156.Article
2.
Silverberg E:  Cancer statistics, 1985 . CA 1985;35:19-35.
3.
Owens WD, Felts JA, Spitznagel EL:  ASA physical status classifications: A study of consistency of ratings . Anesthesiology 1978;49:239-243.Article
4.
Morel PH, Egeli RA, Rohner A:  La chirurgie dans le cancer chez les patients de plus de 80 ans . Schweiz Med Wochenschr 1981;111:1309-1313.
5.
Stanley K:  Prognostic factors for survival in patients with inoperable lung cancers . JNCI 1980;56:25-32.
6.
Kohn RR:  Cause of death in very old people . JAMA 1982;247:2793-2797.Article
7.
Bader TF:  Colorectal cancer in patients older than 75 years of age . Dis Colon Rectum 1986;29:728-732.Article
8.
Ziffren SE:  Comparison of mortality rates for various surgical operations according to age groups, 1951-1977 . J Am Geriatr Soc 1979;27:433-438.
9.
Linn BS, Linn MW, Wallen N:  Evaluation of results of surgical procedures in the elderly . Ann Surg 1982;195:90-96.Article
10.
Greenburg AG, Saik RP, Pridham D:  Influence of age on mortality of colon surgery . Am J Surg 1985;150:65-70.Article
11.
Reiss R, Deutsch AA, Eliashiv A:  Decision-making process in abdominal surgery in the geriatric patient . World J Surg 1983;7:522-526.Article
12.
Meguid MM, Meguid V:  Preoperative identification of the surgical cancer patient in need of postoperative supportive total parenteral nutrition . Cancer 1985;55:258-262.Article
13.
Silberman H:  The role of preoperative parenteral nutrition in cancer patients . Cancer 1985;55:254-257.Article
14.
Reiss R, Haddad M, Deutsch A, et al:  Prognostic index: Prediction of operative mortality in geriatric patients by use of stepwise logistic regression analysis . World J Surg 1987;11:248-251.Article
15.
Greenburg AG, Saik RP, Coyle JJ, et al:  Mortality and gastrointestinal surgery in the aged . Arch Surg 1981;116:788-791.Article
16.
Waldron RP, Donovan IA, Drumm J, et al:  Emergency presentation and mortality from colorectal cancer in the elderly . Br J Surg 1986;73:214-216.Article
17.
Greenburg AG, Saik RP, Farris JM, et al:  Operative mortality in general surgery . Am J Surg 1982;144:22-28.Article
18.
Payne JE, Chapuis PH, Pheils MT:  Surgery for large bowel cancer in people aged 75 years and older . Dis Colon Rectum 1986;29:733-737.Article
19.
Mohr DN:  Estimation of surgical risk in the elderly: A correlative review . J Am Geriatr Soc 1983;31:99-102.
20.
Djokovic JL, Hedley-Whyte J:  Prediction of outcome of surgery and anesthesia in patients over 80 . JAMA 1979;242:2301-2306.Article
21.
Palmberg S, Hirsjärvi E:  Mortality in geriatric surgery . Gerontology 1979;25:103-112.Article
22.
Hobler KE:  Colon surgery for cancer in the very elderly . Ann Surg 1986;203:129-131.Article
23.
Wied U, Nillson T, Knudson JB, et al:  Postoperative survival of patients with potentially curable cancer of the colon . Dis Colon Rectum 1985;28:333-335.Article
24.
Umpleby HC, Bristol JB, Rainey JB, et al:  Survival of 727 patients with single carcinomas of the large bowel . Dis Colon Rectum 1984;27:803-810.Article
25.
Avorn J:  Benefit and cost analysis in geriatric care . N Engl J Med 1984;310:1294-1301.Article
26.
Schelling TC:  The life you save may be your own , in Chase S (ed): Problems in Public Expenditure Analysis . Washington, DC, Brookings Institution, 1968, pp 127-176.
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