Lightner Amy L, Regueiro Miguel, Click Benjamin
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.
Curr Treat Options Gastroenterol. 2019 Dec;17(4):449-456. doi: 10.1007/s11938-019-00254-1.
We sought to understand the key aspects to optimize in the perioperative period when treating an elderly surgical patient with inflammatory bowel disease.
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.
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。
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。
