Indications for emergency surgery for perforated diverticulitis in elderly Japanese patients ≥80 years of age

Go Anegawa, Yuichiro Nakashima, Takanobu Masuda, Rinshun Shimabukuro, Ikuo Takahashi, Takashi Nishizaki

Research output: Contribution to journalArticle

3 Citations (Scopus)

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 languageEnglish
Pages (from-to)1150-1153
Number of pages4
JournalSurgery today
Volume43
Issue number10
DOIs
Publication statusPublished - Oct 1 2013
Externally publishedYes

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Diverticulitis
Emergencies
Peritonitis
Mortality
Demography

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 journalArticle

Anegawa, Go ; Nakashima, Yuichiro ; Masuda, Takanobu ; Shimabukuro, Rinshun ; Takahashi, Ikuo ; Nishizaki, Takashi. / Indications for emergency surgery for perforated diverticulitis in elderly Japanese patients ≥80 years of age. In: Surgery today. 2013 ; Vol. 43, No. 10. pp. 1150-1153.
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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.",
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AU - Anegawa, Go

AU - Nakashima, Yuichiro

AU - Masuda, Takanobu

AU - Shimabukuro, Rinshun

AU - Takahashi, Ikuo

AU - Nishizaki, Takashi

PY - 2013/10/1

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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.

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