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Ältere PatientInnen in der Viszeralchirurgie

Older patients in abdominal surgery

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Zusammenfassung

Hintergrund

Die alternde Gesellschaft stellt für die operative Medizin besondere Herausforderungen dar.

Fragestellung

Besonderheiten in der perioperativen Therapie älterer PatientInnen. Konsequenzen für den klinischen Alltag.

Material und Methode

Auswertung und Zusammenfassung der bestehenden Literatur, inklusive Handlungsempfehlungen für die (peri-)operative Betreuung älterer PatientInnen.

Ergebnisse

Trotz der großen Relevanz finden sich bisher nur wenige Studien, die gezielt ältere PatientInnengruppen untersuchen. Die geänderte (Patho‑)Physiologie sowie die häufigen Komorbiditäten stellen eine Herausforderung dar und können Komplikationen begünstigen.

Schlussfolgerungen

Die Indikationsstellung zur Operation sollte sorgfältig unter Berücksichtigung der zu erwartenden Verbesserungen unter Abwägung der individuellen Wünsche und der besonderen Risiken erfolgen. Die adäquate perioperative Betreuung inklusive frühzeitiger Mobilisation und suffiziente Analgesie ist entscheidend.

Abstract

Background

The aging society imposes special challenges on operative medicine.

Objective

Characteristics in the perioperative treatment of older patients. Consequences for the daily practice.

Material and methods

Evaluation and summary of existing literature including recommendations for the (peri)operative management of older patients.

Results

Despite the growing relevance there are only few studies focusing on older patients. The altered (patho)physiology and comorbidities are challenging and can lead to complications.

Conclusion

The evaluation of the indications for surgery should meticulously take the improvement to be expected into account by weighing up the individual wishes of patients and special risks. The adequate perioperative care including early mobilization and sufficient analgesia are decisive.

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Authors and Affiliations

  1. Klinik und Poliklinik für Allgemein‑, Viszeral‑, Transplantations‑, Gefäß- und Kinderchirurgie, Zentrum Operative Medizin, Universitätsklinikum Würzburg, Oberdürrbacherstr. 6, 97080, Würzburg, Deutschland

    L. Reese, J. C. Wagner & C. T. Germer

Authors
  1. L. Reese
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  2. J. C. Wagner
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  3. C. T. Germer
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Corresponding author

Correspondence to L. Reese.

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Interessenkonflikt

L. Reese, J. C. Wagner und C. T. Germer geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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U. Settmacher, Jena

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Reese, L., Wagner, J.C. & Germer, C.T. Ältere PatientInnen in der Viszeralchirurgie. Chirurgie 94, 3–9 (2023). https://doi.org/10.1007/s00104-022-01740-6

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  • DOI: https://doi.org/10.1007/s00104-022-01740-6

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