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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

• 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)

Stromborg M:  Early detection of cancer in the elderly: Problems and solutions . Int J Nurs Stud 1982;19:139-156.Article
Silverberg E:  Cancer statistics, 1985 . CA 1985;35:19-35.
Owens WD, Felts JA, Spitznagel EL:  ASA physical status classifications: A study of consistency of ratings . Anesthesiology 1978;49:239-243.Article
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.
Stanley K:  Prognostic factors for survival in patients with inoperable lung cancers . JNCI 1980;56:25-32.
Kohn RR:  Cause of death in very old people . JAMA 1982;247:2793-2797.Article
Bader TF:  Colorectal cancer in patients older than 75 years of age . Dis Colon Rectum 1986;29:728-732.Article
Ziffren SE:  Comparison of mortality rates for various surgical operations according to age groups, 1951-1977 . J Am Geriatr Soc 1979;27:433-438.
Linn BS, Linn MW, Wallen N:  Evaluation of results of surgical procedures in the elderly . Ann Surg 1982;195:90-96.Article
Greenburg AG, Saik RP, Pridham D:  Influence of age on mortality of colon surgery . Am J Surg 1985;150:65-70.Article
Reiss R, Deutsch AA, Eliashiv A:  Decision-making process in abdominal surgery in the geriatric patient . World J Surg 1983;7:522-526.Article
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
Silberman H:  The role of preoperative parenteral nutrition in cancer patients . Cancer 1985;55:254-257.Article
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
Greenburg AG, Saik RP, Coyle JJ, et al:  Mortality and gastrointestinal surgery in the aged . Arch Surg 1981;116:788-791.Article
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
Greenburg AG, Saik RP, Farris JM, et al:  Operative mortality in general surgery . Am J Surg 1982;144:22-28.Article
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
Mohr DN:  Estimation of surgical risk in the elderly: A correlative review . J Am Geriatr Soc 1983;31:99-102.
Djokovic JL, Hedley-Whyte J:  Prediction of outcome of surgery and anesthesia in patients over 80 . JAMA 1979;242:2301-2306.Article
Palmberg S, Hirsjärvi E:  Mortality in geriatric surgery . Gerontology 1979;25:103-112.Article
Hobler KE:  Colon surgery for cancer in the very elderly . Ann Surg 1986;203:129-131.Article
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
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
Avorn J:  Benefit and cost analysis in geriatric care . N Engl J Med 1984;310:1294-1301.Article
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.