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Ausgedehntes Kolonkarzinom

99 und multimorbide: Würden Sie hier noch operieren?

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Geriatrie-Report

Die 99-jährige Frau P. stellt sich wegen linksseitiger Oberbauchschmerzen bei Ihnen vor. Sie palpieren eine harte, nicht verschiebbare Masse im linken Oberbauch. Bei Verdacht auf ein Malignom veranlassen Sie eine Computertomografie und stellen Frau P. chirurgisch vor, doch Sie haben Zweifel, ob eine Operation bei der Patientin noch vertretbar ist.

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Literatur

  1. Goldvaser, H, Shroitman NK, Ben-Aharon I, Purim O, Kundel Y, Shepshelovich D, Shochat T, Sulkes A, Brenner B. Octogenaria patients with colorectal cancer: Characterizing an emerging clinical entity. World J Gastroenterol 2017; 23(8):1387–1396

    Article  Google Scholar 

  2. Vetrano DL, Calderón-Larrañaga A, Marengoni A, Onder G, Bauer JM, Cesari M, Ferrucci L, Fratiglioni LJ. Gerontol A Biol Sci Med Sci 2018. An International Perspective on Chronic Multimorbidity: Approaching the Elephant in the Room;73(10):1350–1356

    Google Scholar 

  3. Raymond BL, Wanderer JP, Hawkins AT, Geiger TM, Ehrenfeld JM, Stokes JW, McEvoy MD. Use of the American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator During Preoperative Risk Discussion: The Patient Perspective. Anesth Analg 2019;128(4):643–650

    Article  Google Scholar 

  4. Bos ACRK, Kortbeek D, van Erning FN, Zimmerman DDE, Lemmens VEPP, Dekker JWT, Maas HAAM. Postoperative mortality in elderly patients with colorectal cancer: The impact of age, time-trends and competing risks of dying. Eur J Surg Oncol 2019: S0748-7983(19)30412-3. doi: https://doi.org/10.1016/j.ejso.2019.04.020. [Epub ahead of print]

    Google Scholar 

  5. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA. Frailty in older adults: evidence for a subtype. J Gerontol A Biol Sci Med Sci. 2001; 56(3):M146–156

    Article  CAS  Google Scholar 

  6. Boakye D, Rillmann B, Walter V, Jansen L, Hoffmeister M, Brenner H. Impact of comorbidity and frailty on prognosis in colorectal cancer patients: A systematic review and meta-analysis. Cancer Treat Rev 2018;64:30–39

    Article  Google Scholar 

  7. Amer MA, Smith MD, Herbison GP, Plank LD, McCall JL. Network meta-analysis of the effect of preoperative carbohydrate loading on recovery after elective surgery. Br J Surg 2017; 104(3):187–197

    Article  CAS  Google Scholar 

  8. Gurlit S, Gogol M. Prehabilitation is better than cure. Curr Opin Anaesthesiol 2019;32(1):108–115

    Article  Google Scholar 

  9. Carli F, Silver JK, Feldman LS, McKee A, Gilman S, Gillis C, Scheede-Bergdahl C, Gamsa A, Stout N, Hirsch B. Surgical Prehabilitation in Patients with Cancer: State-of-the-Science and Recommendations for Future Research from a Panel of Subject Matter Experts. Phys Med Rehabil Clin N Am 2017;28(1):49–64

    Article  Google Scholar 

  10. Bettelli G. Preoperative evaluation of the elderly surgical patient and anesthesia challenges in the XXI century. Aging Clin Exp Res 2018;30(3):229–235

    Article  Google Scholar 

  11. Dillon ST, Vasunilashorn SM, Ngo L, Otu HH, Inouye SK, Jones RN, Alsop DC, Kuchel GA, Metzger ED, Arnold SE, Marcantonio ER, Libermann TA. Higher C-Reactive Protein Levels Predict Postoperative Delirium in Older Patients Undergoing Major Elective Surgery: A Longitudinal Nested Case-Control Study. Biol Psychiatry 2017;81(2):145–153

    Article  CAS  Google Scholar 

  12. Rudolph JL, Marcantonio ER. Review articles: postoperative delirium: acute change with long-term implications. Anesth Analg 2011;112(5):1202–1211

    Article  Google Scholar 

  13. Franco K, Litaker D, Locala J, Bronson D. The cost of delirium in the surgical patient. Psychosomatics 2001;42(1):68–73

    Article  CAS  Google Scholar 

  14. Jackson JC, Gordon SM, Hart RP, Hopkins RO, Ely EW. The association between delirium and cognitive decline: a review of the empirical literature. Neuropsychol Rev 2004;14(2):87–98.

    Article  Google Scholar 

  15. Mosk CA, van Vugt JLA, de Jonge H, Witjes CD, Buettner S, Ijzermans JN, van der Laan L. Low skeletal muscle mass as a risk factor for postoperative delirium in elderly patients undergoing colorectal cancer surgery. Clin Interv Aging. 2018;13:2097–2106

    Article  Google Scholar 

  16. Koch S, Spies C. Neuromonitoring in the elderly. Curr Opin Anaesthesiol 2019;32(1):101–107

    Article  Google Scholar 

  17. Kowark A, Rossaint R, Coburn M. General versus spinal anesthesia for the elderly hip fracture patient. Curr Opin Anaesthesiol 2019;32:116–119

    Article  Google Scholar 

  18. Weerink LBM, Gant CM, van Leeuwen BL, de Bock GH, Kouwenhoven EA, Faneyte IF. Long-Term Survival in Octogenarians After Surgical Treatment for Colorectal Cancer: Prevention of Postoperative Complications is Key. Ann Surg Oncol (2018) 25:3874–3882

    Article  Google Scholar 

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Correspondence to Matthias Brüwer.

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Brüwer, M., Gurlit, S. 99 und multimorbide: Würden Sie hier noch operieren?. Geriatr Rep 14, 12–16 (2019). https://doi.org/10.1007/s42090-019-0239-y

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