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.
| Original language | English |
|---|---|
| Pages (from-to) | 1150-1153 |
| Number of pages | 4 |
| Journal | Surgery today |
| Volume | 43 |
| Issue number | 10 |
| DOIs | |
| Publication status | Published - Oct 1 2013 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Surgery
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Indications for emergency surgery for perforated diverticulitis in elderly Japanese patients ≥80 years of age. / Anegawa, Go; Nakashima, Yuichiro; Masuda, Takanobu; Shimabukuro, Rinshun; Takahashi, Ikuo; Nishizaki, Takashi.
In: Surgery today, Vol. 43, No. 10, 01.10.2013, p. 1150-1153.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Indications for emergency surgery for perforated diverticulitis in elderly Japanese patients ≥80 years of age
AU - Anegawa, Go
AU - Nakashima, Yuichiro
AU - Masuda, Takanobu
AU - Shimabukuro, Rinshun
AU - Takahashi, Ikuo
AU - Nishizaki, Takashi
PY - 2013/10/1
Y1 - 2013/10/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84884901836&partnerID=8YFLogxK
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U2 - 10.1007/s00595-013-0514-8
DO - 10.1007/s00595-013-0514-8
M3 - Article
C2 - 23420094
AN - SCOPUS:84884901836
VL - 43
SP - 1150
EP - 1153
JO - Surgery Today
JF - Surgery Today
SN - 0941-1291
IS - 10
ER -