Relationship between preoperative nutritional support and postoperative pulmonary complications following esophagectomy for carcinoma of the esophagus in elderly patients.

A total of 828 patients with esophageal cancer were treated at the Second Department of Surgery of Tokai University in the 20-year period from 1975 to June 1994, including 45 patients over 80 years old. We reviewed these elderly patients to assess the optimum therapeutic approach for such individuals. In recent years, the number of elderly patients with esophageal cancer has steadily been increasing. Advanced cancer is more common among this group, but early cancer has also been detected more frequently in recent years. Of the 45 elderly patients (80%) in our series, 36 were encountered in the last 10 years. As 28.9% of the patients had multiple cancers, a careful workup was necessary preoperatively. Since most patients (88.9%) had complications and were also in a poor general condition, limited surgery was recommended in consideration of the postoperative quality of life. The indications for endoscopic mucosal resection (EMR) may be able to be extended to submucosal1 (sm1) cancer without lymph node swelling. Postoperative complications occurred in 60% of those undergoing surgical resection or esophageal bypass, although death only resulted in 1 case. The 5-year survival rate after surgical resection was 30.8%. These results therefore support the use of surgical treatment for selected elderly patients with esophageal cancer.

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Treatment of esophageal cancer in patients over 80 years old

Chino

Makuuchi

Machimura

et al. 1997

Surg Today

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Effectiveness of an outpatient preoperative care bundle in preventing postoperative pneumonia among esophageal cancer patients

Hiramatsu¹,

Sugiyama²,

Setsuko³

et al. 2014

American Journal of Infection Control

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A Clinical Study of Surgical Resection for Patients over 85 Years of Age with Gastric Cancer

Yamakawa¹,

Bando²,

Kawamura³

et al. 2014

Jpn J Gastroenterol Surg

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Relationship between preoperative nutritional support and postoperative pulmonary complications following esophagectomy for carcinoma of the esophagus in elderly patients.

Cited by 3 publications

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Treatment of esophageal cancer in patients over 80 years old

Treatment of esophageal cancer in patients over 80 years old

Effectiveness of an outpatient preoperative care bundle in preventing postoperative pneumonia among esophageal cancer patients

A Clinical Study of Surgical Resection for Patients over 85 Years of Age with Gastric Cancer

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