Gastric cancer in the elderly

Detalhes bibliográficos
Autor(a) principal: Costa, Patrícia Burda
Data de Publicação: 2004
Outros Autores: Mello, Eduardo Linhares Riello de, Kesley, Rubens, Cola, Bernardo, Mirssilian, Gilberto, Leidermann, Eliezer, Salomão, Alemar Roge, Pinto, Carlos Eduardo
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/2025
Resumo: Recent studies have reported an increase in the number of old patients with gastric cancer due to increased of life expectancy. This group is naturally associated with other diseases such as cardiovascular. Loco regional control of gastric carcinoma through limphadenectomy remains the best option for the treatment of gastric cancer. In elderly population, the benefits of radical surgical treatment have been correlated to higher morbid-mortality rates of this treatment. The authors reviewed the prospective database and studied patients over 76 years of age who underwent surgical treatment for gastric carcinoma. From a total of 579 patients with gastric cancer admitted in our hospital between 1997 and 2001, a group of 66 were the subjected of this analysis. It was found that morbidity rates reached 37,9% and postoperative mortality was 12,1%. The total gastrectomy was the surgery with higher morbidity and mortality. A careful selection of patients, treatment of co-existent diseases, careful peri and postoperative procedures, proved gastric resection produces good results in elderly patients and surgical treatment is justifiable.
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spelling Gastric cancer in the elderlyCâncer gástrico em idososNeoplasias gástricasIdosoCirurgiaStomach neoplasmsElderlySurgeryRecent studies have reported an increase in the number of old patients with gastric cancer due to increased of life expectancy. This group is naturally associated with other diseases such as cardiovascular. Loco regional control of gastric carcinoma through limphadenectomy remains the best option for the treatment of gastric cancer. In elderly population, the benefits of radical surgical treatment have been correlated to higher morbid-mortality rates of this treatment. The authors reviewed the prospective database and studied patients over 76 years of age who underwent surgical treatment for gastric carcinoma. From a total of 579 patients with gastric cancer admitted in our hospital between 1997 and 2001, a group of 66 were the subjected of this analysis. It was found that morbidity rates reached 37,9% and postoperative mortality was 12,1%. The total gastrectomy was the surgery with higher morbidity and mortality. A careful selection of patients, treatment of co-existent diseases, careful peri and postoperative procedures, proved gastric resection produces good results in elderly patients and surgical treatment is justifiable.Estudos recentes relatam um aumento no número de pacientes idosos com câncer gástrico devido à melhoria na expectativa de vida da população. A gastrectomia e o controle locorregional através da linfadenectomia para os tumores gástricos, permanece como a melhor possibilidade de cura para o câncer gástrico. As co-morbidades existentes no idoso podem levar a maior taxa de complicações no per e pós-operatórios, e nessa população os benefícios da cirurgia têm sido correlacionados com a morbi-mortalidade desse tratamento. Os autores analisam os resultados do tratamento cirúrgico de pacientes com idade acima de 76 anos com adenocarcinoma gástrico operados, dando ênfase aos aspectos cirúrgicos, e se é justificável o emprego dessa cirurgia nesse grupo de pacientes. Um total de 579 pacientes com câncer gástrico foi atendido em nosso hospital entre 1997 e 2001. Dessa casuística, analisamos um grupo de 66 pacientes idosos. Nessa análise, obtivemos 37,9% de morbidade e 12,1% de mortalidade. A complicação mais comum foi infecção de sítio cirúrgico que ocorreu em 17,1% dos pacientes. A seleção cuidadosa de pacientes, o tratamento de doenças concomitantes e os cuidados no peri e pós-operatórios provam que a cirurgia gástrica tem bons resultados em pacientes idosos, concluindo que a cirurgia é justificável no idoso, sendo a gastrectomia total o procedimento de maior morbi-mortalidade.INCA2004-09-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/202510.32635/2176-9745.RBC.2004v50n3.2025Revista Brasileira de Cancerologia; Vol. 50 No. 3 (2004): July/Aug./Sept; 211-217Revista Brasileira de Cancerologia; Vol. 50 Núm. 3 (2004): jul./ago/sept.; 211-217Revista Brasileira de Cancerologia; v. 50 n. 3 (2004): jul./ago.set.; 211-2172176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/2025/1245Costa, Patrícia Burda Mello, Eduardo Linhares Riello de Kesley, Rubens Cola, Bernardo Mirssilian, Gilberto Leidermann, EliezerSalomão, Alemar Roge Pinto, Carlos Eduardo info:eu-repo/semantics/openAccess2021-11-29T20:32:42Zoai:rbc.inca.gov.br:article/2025Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:32:42Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Gastric cancer in the elderly
Câncer gástrico em idosos
title Gastric cancer in the elderly
spellingShingle Gastric cancer in the elderly
Costa, Patrícia Burda
Neoplasias gástricas
Idoso
Cirurgia
Stomach neoplasms
Elderly
Surgery
title_short Gastric cancer in the elderly
title_full Gastric cancer in the elderly
title_fullStr Gastric cancer in the elderly
title_full_unstemmed Gastric cancer in the elderly
title_sort Gastric cancer in the elderly
author Costa, Patrícia Burda
author_facet Costa, Patrícia Burda
Mello, Eduardo Linhares Riello de
Kesley, Rubens
Cola, Bernardo
Mirssilian, Gilberto
Leidermann, Eliezer
Salomão, Alemar Roge
Pinto, Carlos Eduardo
author_role author
author2 Mello, Eduardo Linhares Riello de
Kesley, Rubens
Cola, Bernardo
Mirssilian, Gilberto
Leidermann, Eliezer
Salomão, Alemar Roge
Pinto, Carlos Eduardo
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Costa, Patrícia Burda
Mello, Eduardo Linhares Riello de
Kesley, Rubens
Cola, Bernardo
Mirssilian, Gilberto
Leidermann, Eliezer
Salomão, Alemar Roge
Pinto, Carlos Eduardo
dc.subject.por.fl_str_mv Neoplasias gástricas
Idoso
Cirurgia
Stomach neoplasms
Elderly
Surgery
topic Neoplasias gástricas
Idoso
Cirurgia
Stomach neoplasms
Elderly
Surgery
description Recent studies have reported an increase in the number of old patients with gastric cancer due to increased of life expectancy. This group is naturally associated with other diseases such as cardiovascular. Loco regional control of gastric carcinoma through limphadenectomy remains the best option for the treatment of gastric cancer. In elderly population, the benefits of radical surgical treatment have been correlated to higher morbid-mortality rates of this treatment. The authors reviewed the prospective database and studied patients over 76 years of age who underwent surgical treatment for gastric carcinoma. From a total of 579 patients with gastric cancer admitted in our hospital between 1997 and 2001, a group of 66 were the subjected of this analysis. It was found that morbidity rates reached 37,9% and postoperative mortality was 12,1%. The total gastrectomy was the surgery with higher morbidity and mortality. A careful selection of patients, treatment of co-existent diseases, careful peri and postoperative procedures, proved gastric resection produces good results in elderly patients and surgical treatment is justifiable.
publishDate 2004
dc.date.none.fl_str_mv 2004-09-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/2025
10.32635/2176-9745.RBC.2004v50n3.2025
url https://rbc.inca.gov.br/index.php/revista/article/view/2025
identifier_str_mv 10.32635/2176-9745.RBC.2004v50n3.2025
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/2025/1245
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 50 No. 3 (2004): July/Aug./Sept; 211-217
Revista Brasileira de Cancerologia; Vol. 50 Núm. 3 (2004): jul./ago/sept.; 211-217
Revista Brasileira de Cancerologia; v. 50 n. 3 (2004): jul./ago.set.; 211-217
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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