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• W1984841106 abstract "Objective Colorectal emergency requiring radical surgery is becoming increasingly frequent in the elderly and problems remain as regards the best management policy. Our long-time experience is presented in this study. Patients and methods In the last 23 years, 105 elderly patients, aged ≥ 65 years, with colorectal disease underwent an emergency operation in our Surgical Department. Forty-five patients (mean age 72 years) had benign disease and 60 patients (mean age 76.5 years) colorectal carcinoma. Results The carcinoma was located in the left colon (68%), right colon (18%) and rectum (14%). Mostly, patients with malignant cancer presented with obstructive ileus, and patients with benign tumours with perforation and peritonitis, with a predominance of diverticulitis. A resection operation either with primary anastomosis or Hartmann's procedure was performed in 75% of cases; in the rest, only palliation was resorted to. Forty-three per cent of the patients with colorectal cancer emergency were ≥80 years of age. The mean morbidity was 25% and mortality 17%, which make up to 33% and 26.6% for benign disease, and 20% and 10% for malignant cancer, respectively. The mortality rate was higher in patients with perforation than those with obstruction. Conclusion Advanced age is not a contraindication to radical surgery in case of colorectal emergency in the elderly. In the majority, a resection operation is feasible. In high-risk patients, colostomy is a life-saving alternative." @default.
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• W1984841106 date "2006-10-01" @default.
• W1984841106 modified "2023-09-27" @default.
• W1984841106 title "Safety of bowel resection for colorectal surgical emergency in the elderly" @default.
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• W1984841106 doi "https://doi.org/10.1111/j.1463-1318.2006.00993.x" @default.
• W1984841106 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/16970575" @default.
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