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老年炎症性肠病患者结直肠手术的特殊考量

Special Considerations for Colorectal Surgery in the Elderly IBD Patient.

作者信息

Lightner Amy L, Regueiro Miguel, Click Benjamin

机构信息

Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH, 44195, USA.

Department of Gastroenterology, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.

出版信息

Curr Treat Options Gastroenterol. 2019 Dec;17(4):449-456. doi: 10.1007/s11938-019-00254-1.

Abstract

PURPOSE OF REVIEW

We sought to understand the key aspects to optimize in the perioperative period when treating an elderly surgical patient with inflammatory bowel disease.

RECENT FINDINGS

Addressing preoperative polypharmacy, frailty, and nutrition is important in the elderly population. Understanding intraoperative principles of oncologic risk and pouch formation and the advantages of laparoscopy are key. Postoperative-enhanced recovery pathways and VTE prophylaxis are essential for high-quality care. Preoperative, perioperative, and postoperative factors can greatly impact elderly patients' surgical outcomes.

摘要

综述目的

我们试图了解在围手术期治疗老年炎症性肠病手术患者时需要优化的关键方面。

最新发现

解决老年患者术前的多种药物治疗、虚弱和营养问题很重要。了解术中肿瘤风险和造袋形成的原则以及腹腔镜检查的优势是关键。术后强化康复路径和静脉血栓栓塞预防对于高质量护理至关重要。术前、围手术期和术后因素会极大地影响老年患者的手术结果。

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