Published in:
01-12-2019 | Ulcerative Colitis | Gastroenterology for Geriatric Patients (S Katz and A Afzali, Section Editors)
Special Considerations for Colorectal Surgery in the Elderly IBD Patient
Authors:
Amy L. Lightner, MD, Miguel Regueiro, MD, Benjamin Click, MD
Published in:
Current Treatment Options in Gastroenterology
|
Issue 4/2019
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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.
Summary
Preoperative, perioperative, and postoperative factors can greatly impact elderly patients’ surgical outcomes.