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Benign Colorectal Disease in the Elderly

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Principles and Practice of Geriatric Surgery

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Abstract

Benign colorectal diseases are a cause of many quality of life impairments for patients. With aging of the population, physicians are likely to encounter more affected patients in the years to come. Constipation, especially prevalent among older patients, has many downstream effects and, with these, may create significant morbidity and expense for patients. Chronic straining and pelvic floor weakness may result in rectal prolapse that usually can be corrected with an appropriate surgical intervention. With antibiotic use, there is risk of Clostridium difficile infection which may complicate recovery from a host of conditions seen in elderly patients. Only in fulminant cases is surgery typically required. Colonic volvulus is an unusual cause of large bowel obstruction in the United States; however, its frequency too increases with patient age. Mortality may result from incorrect diagnosis or failure to intervene promptly. Fecal incontinence is disabling for a large cohort of elderly patients, and although not always reversible, the impact on quality of life can be minimized with a number of strategies.

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Authors and Affiliations

  1. General Surgery, Brody School of Medicine, Department of Surgery, East Carolina University, 600 Moye Blvd, Greenville, NC, 27834, USA

    Walter E. Pofahl & Mark L. Manwaring

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  1. Walter E. Pofahl
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  2. Mark L. Manwaring
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Correspondence to Walter E. Pofahl .

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Editors and Affiliations

  1. Surgical Service, Yale University School of Medicine VA Connecticut Health Care System, West Haven, Connecticut, USA

    Ronnie A. Rosenthal

  2. SUNY Downstate School of Public Health, National Capital Region Johns Hopkins Medicine, Bethesda, Maryland, USA

    Michael E. Zenilman

  3. Center for Geriatric Surgery, Sinai Hospital of Baltimore, Baltimore, Maryland, USA

    Mark R. Katlic

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  1. Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA

    Jason Johanning

  2. Duke Medicine, Durham, NC, USA

    Sandhya Lagoo-Deenadayalan

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Pofahl, W.E., Manwaring, M.L. (2017). Benign Colorectal Disease in the Elderly. In: Rosenthal, R., Zenilman, M., Katlic, M. (eds) Principles and Practice of Geriatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-20317-1_73-1

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