Hellinger A
Klinik für Allgemein-und Viszeralchirurgie, Klinikum Fulda gAG.
MMW Fortschr Med. 2004 Sep 30;146(40):22-4.
Almost three-quarters of patients with cancer of the gastrointestinal tract are more than 65 years of age. In the operative treatment of esophageal pancreatic, hepatocellular and colorectal carcinomas, studies show comparable risks for patients under, and those over, 70 years of age. In terms of morbidity, mortality and 5-year mortality rates, attendant risks in the latter do not generally appear to be greater. An increase in the rate of complications, however, has been observed for palliative interventions in colorectal cancer patients. In particular cardiovascular risk factors play a major role in the over-70-year-olds.
近四分之三的胃肠道癌症患者年龄超过65岁。在食管癌、胰腺癌、肝细胞癌和结直肠癌的手术治疗中，研究表明70岁以下和70岁以上患者的风险相当。就发病率、死亡率和5年死亡率而言，后者的伴随风险通常似乎并不更高。然而，在结直肠癌患者的姑息性干预中，并发症发生率有所增加。特别是心血管危险因素在70岁以上人群中起主要作用。
