Résumé
Les situations où une chirurgie en urgence est indiquée chez la personne âgée sont variées et parfois complexes. Il apparaît donc primordial dans ce contexte d’évaluer le mieux possible le risque opératoire et le bénéfice attendu afin de choisir la meilleure alternative thérapeutique possible.
Abstract
The elderly situations, where a surgery in emergency is indicated, are various and sometimes complexes. It appears then to be essential in this context that we estimate as accurately as possible the risks of the surgery and the expected profits to help choose the best therapeutic alternative.
Références
Arenal JJ, Bengoechea-Beeby M, et al (2003) Mortality associated with emergency abdominal surgery in the elderly. Can J Surg 46:11
Barlow AP, Zarifa Z, Shillito RG, et al (1989) Surgery in a geraitric population. Ann R Coll Surg Engl 71:110
Awad SS, et al (2003) State-of-the-art therapy for severe sepsis and multi-system organ dysfunction. Am J Surg 186:23S–30S
Wolters U, Wolf T, Stützer H, et al (1996) ASA classification and perioperative variables as predictors of postoperative outcome. Br J Anaesth 77:217
Makela JT, Kiviniemi H, Laitinen S, et al (2005) Prognostic factors of perforated sigmoid diverticulitis in the elderly. Dig Surg 22:100
Tekkis PP, Kocher HM, Bentley AJ, et al (2000) Operative mortality rates among surgeons. Comparison of POSSUM and p-POSSUM scoring systems in gastrointestinal surgery. Dis Colon Rectum 43:1528–1532
Mohil RS, Bhatnagar D, Bahadur L, et al (2004) POSSUM and p-POSSUM for risk-adjusted audit of patients undergoing emergency laparotomy. Br J Surg 91:500
Copland GP, Jones D, Walters M, et al (1991) POSSUM: A scoring system for surgical Audit. Br J Surg 78:356
Prytherch DR, Whiteley MS, Higgins B, et al (1998) POSSUM and Potsmouth POSSUM for predicting mortality. Physiologic and operative severity score for the enumeration of mortality and morbidity. Br J Surg 85:1217
Kennedy RH, al-Mufti RA, Brewster SF, et al (1994) The acute surgical admission: is mortality predictable in the elderly. Ann R Coll Surg Engl 76:342
Abbas SM, Kahokehr A, Mahmoud M, et al (2010) The simple Prognostic Index (SPI) — a pathophysiologic prognostic scoring tool for emergency laparotomy. J Surg Res 163:59
Arenal JJ, Bengoechea-Beeby M, et al (2003) Mortality associated with emergency abdominal surgery in the elderly. Can J Surg 46:111
Duron JJ, Duron E, Maneglia R, et al (2005) Digestive surgery in the elderly. J Chir (Paris) 142:150
Lyon C, Clark DC, et al (2006) Diagnosis of acute abdominal pain in older patients. Am Fam Physician 193:1537
Stollman N, Raskin JB, et al (2004) Diverticular disease of the colon. Lancet 363:631
Lopez DE, Brown CV, et al (1999) Diverticulitis: the most common colon emergency for the acute care surgeon. Scand J Surg 99:86
Nespoli A, Ravizzini C, Trivella M, et al (1993) The choice of surgical procedure for peritonitis due to colonic perforation. Arch Surg 128:814
Schoots IG, Koffeman GI, Legemate DA, et al (2004) Systematic review of survival after acute mesenteric ischaemia according to disease aetiology. Br J Surg 91:17–27
Henneman PL, et al (2002) Gastrointestinal bleeding in Rosen’s emergency medecine, concepts and clinical practice, fifth edition. St Louis, Missouri, vols 194–200
Kaplan RC, Heckbert SR, Koepsell TD, et al (2001) Risk factors for hospitalized gastrointestinal bleeding among older persons. J Am Geriatr Soc 49:126
Friedman LS, Martin P, et al (1993) The problem of gastrointestinal bleeding. Gastrointestinal bleeding in clinics of North America. Ed Saunders, vol 22:717
Lesur G, Bour B, Aegerter P, et al (2005) Association nationale des hépatogastroentérologues des hôpitaux généraux. Management of bleeding peptic ulcer in France: a national inquiry. Gastroenterol Clin Biol 29:140
Farrell JJ, Friedman LS, et al (2000) Gastrointestinal bleeding in older patients. Gastroenterol Clin North Am 29:1
Bokhari M, Vernava AM, Ure T, et al (1996) Diverticular hemorrhage in the elderly — is it well tolerated? Dis Colon Rectum 39:191
Delabrousse E, Destrumelle N, Brunelle S, et al (2003) CT of small bowel obstruction in adults. Abdom Imaging 28(2):257
Frager D (2002) Intestinal obstruction role of CT. Gastroenterol Clin North Am 31(3):777
Maglinte DD, Heitkamp DE, Howard TJ, et al (2003) Current concepts in imaging of small bowell obstruction. Radiol Clin North Am 41(2):263
Gurusamy KS, Samraj K, et al (2006) Early versus delayed laparoscopic cholecystectomy for acute cholecystis. Cochrane Database Syst Rev CD005440
Martin DJ, Vernon DR, Toouli J, et al (2006) Surgical versus endoscopic treatment of bile duct stones. Cochrane Database Syst Rev CD003327
Clayton ES, Connor S, Alexakis N, et al (2006) Meta-analysis of endoscopy and surgery versus surgery alone for common bile duct stones with the gallbladder in situ. Br J Surg 93:1185
Obana T, Fujita N, Noda Y, et al (2010) Efficacy and safety of therapeutic ERCP for the elderly with choledocholithiasis: comparison with younger patients. Intern Med 49:1935
Katsinelos P, Kountouras J, Chatzimavroudis G, et al (2011) Outpatient therapeutic endoscopic retrograde cholangiopancreatography is safe in patients aged 80 years and older. Endoscopy 43(2):128
Bergman S, Sourial N, Vedel I, et al (2011) Gallstone disease in the elderly: are older patients managed differently? Surg Endosc 25(1):55
Scott RAP, Tisi PV, Ashton HA, et al (1998) Abdominal aortic aneurysm rupture rates: a 7 year follow-up of the entire aortic aneurysm population detected by screening. J Vasc Surg 28:124
Lederle FA, Johnson GR, Wilson SE, et al (2002) Rupture rate of large abdominal aortic aneurysms in patients refusing or unfit for elective repair. JAMA 2968-72
Conway KP, Byrne J, Townsend M, et al (2001) Prognosis of patients turned down for conventional abdominal aortic aneurysm repair in the endovascular and sonographic era: Szilagyi revisited? J Vasc Surg 33(4):752–757
Sakalihasan N, Limet R, Defawe OD, et al (2005) Abdominal aortic aneurysm. Lancet 365:1577
Earnshaw JJ, Limet R, Defawe OD, et al (2010) Acute ischemia: evaluation and decision making. Vasc Surg 2389–2398
Cambou JP, Aboyans V, Constans J, et al (2010) Characteristics and outcome of patients hospitalised for lower extremity peripheral artery disease in France: the COPART Registry. Eur J Vasc Endovasc Surg 39(5):577
Comerota AJ, Sidhu R, et al (2009) Can intraoperative thrombolytic therapy assist with the management of acute limb ischemia? Semin Vasc Surg 22(1):47
Norgren L, Hiatt WR, Dormandy JA, et al (2007) Inter-Society Consensus for the management of peripheral arterial disease. J Vasc Surg 45:S5–S67
Henke PK, et al (2009) Contemporary management of acute limb ischemia: factors associated with amputation and in-hospital mortality. Semin Vasc Surg 22(1):34
Pieracci F, Eachempati SR, Shou J, et al (2007) Use of longterme anticoagulation is associated with traumatic intracranial haemorrhage and subsequent mortality in elderly patients hospitalised after falls: analysis of the New York State administrative database. J Trauma 63:519
Smits M, Dippel DW, Steyerberg EW, et al (2007) Predicting intracranial traumatic findings on computed tomography with minor head injury: the CHIP prediction rule. Ann Intern Med 146:397
Fleischman RJ, Adams AL, Hedges JR, et al (2010) The optimum follow-up period for assessing mortality outcomes in injured older adults. J Am Geriatr Soc 58:1843–1849
Simunovic N, Devereaux PJ, Sprague S, et al (2010) Effect of early surgery after hip fracture on mortality and complications: systematic review and meta-analysis. CMAJ 182:1609–1616
Aldrian S, Nau T, Koenig F, et al (2005) Geriatric Polytrauma. Wien Klin Wochenschr 117(4):145
Cohen-Bittan J (2011) Gestion périopératoire. Traité de médecine d’urgence de la personne âgée. Arnette (sous presse)
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Pernet, J. Particularités des urgences chirurgicales du patient âgé. cah. année gerontol. 3, 48–55 (2011). https://doi.org/10.1007/s12612-011-0177-2
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DOI: https://doi.org/10.1007/s12612-011-0177-2