Our Summary

This research paper examined the outcomes of colorectal surgery in elderly patients. The study looked at 464 patients who had this surgery between 2013 and 2017, dividing them into two groups: those aged 75 and above, and those younger than 75.

The study found that the older group made up 30% of the patients. It was observed that more of these older patients had to undergo specific types of surgeries (Hartmann procedure and right hemicolectomy), compared to the younger group who had more low anterior resection surgeries.

Interestingly, surgeries took less time in the older group but they ended up staying in the hospital for one more day on average. Additionally, older patients tended to have more complications and higher mortality rates after the surgery.

The younger group, on the other hand, showed a higher chance of the cancer spreading to distant parts of the body. The older group also received less pre-surgery chemo and radiation therapy than the younger group.

In conclusion, the research showed that about one-third of patients having colorectal surgeries are elderly, and these surgeries in older patients come with longer hospital stays and a higher risk of complications and death.

FAQs

  1. What was the age range of the patients in this study on colorectal surgery?
  2. Did the older group of patients have different surgical procedures compared to the younger group?
  3. What were the differences in post-surgery outcomes between the older and younger groups of patients?

Doctor’s Tip

A helpful tip a doctor might tell a patient about colorectal surgery is to ensure they understand the potential risks and complications associated with the procedure, especially if they are elderly. It is important for patients to discuss their medical history and any concerns with their healthcare provider to ensure they receive the best possible care and outcome. Additionally, following post-operative care instructions and attending follow-up appointments are crucial for a successful recovery.

Suitable For

Overall, patients who are typically recommended colorectal surgery are those who have been diagnosed with colorectal cancer, inflammatory bowel disease, diverticulitis, or other conditions affecting the colon or rectum. The decision to undergo surgery is usually made after careful consideration of the patient’s individual health status, the stage and severity of their condition, and the potential benefits and risks of the procedure. Older patients, in particular, may face additional challenges and risks associated with colorectal surgery, as highlighted in the research study discussed above.

Timeline

Before colorectal surgery, a patient may experience symptoms such as abdominal pain, changes in bowel habits, blood in the stool, and unexplained weight loss. They may undergo various tests such as colonoscopy, CT scans, and blood work to diagnose the condition and determine the need for surgery.

After colorectal surgery, the patient will typically stay in the hospital for a few days to recover. They may experience pain, fatigue, and changes in bowel function. The healthcare team will closely monitor the patient for any complications such as infection, bleeding, or bowel blockages. The patient will also need to follow a specific diet and take medications as prescribed to aid in the healing process.

In the weeks and months following surgery, the patient will gradually resume normal activities and may need to undergo follow-up appointments with their healthcare provider to monitor their progress and address any concerns. They may also need to make lifestyle changes such as adopting a healthy diet and exercise routine to promote long-term recovery and prevent future complications.

What to Ask Your Doctor

  1. What are the specific risks and complications associated with colorectal surgery for elderly patients?
  2. How will my age impact the type of surgery I may need and the recovery process?
  3. What are the potential benefits of undergoing surgery at my age?
  4. How will my pre-existing health conditions or medications affect the surgery and recovery?
  5. What is the expected length of hospital stay and recovery time for someone my age undergoing colorectal surgery?
  6. Will I require any additional support or care post-surgery due to my age?
  7. What are the alternatives to surgery for my condition, and how do they compare in terms of effectiveness and risks for someone my age?
  8. How will my age impact the long-term outcomes and success of the surgery?
  9. What steps can I take to improve my chances of a successful recovery and minimize complications, given my age?
  10. What are the specific measures the surgical team will take to ensure my safety and well-being during and after the surgery, considering my age?

Reference

Authors: Zawadzki M, Krzystek-Korpacka M, Rząca M, Czarnecki R, Obuszko Z, Witkiewicz W. Journal: Pol Przegl Chir. 2018 Jun 13;90(4):29-34. doi: 10.5604/01.3001.0011.8179. PMID: 30220672