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Considerations in the Elderly

  • Joshua I. S. BleierEmail author
  • Robert D. Fry
Chapter

Abstract

The care of elderly patients with colorectal problems introduces significant complexity even to basic management. Preoperative assessment of this patient is essential to optimizing treatment, and you should consider their physiologic, not chronologic age. Identification of risk factors should guide surgical planning. Issues related to postoperative function and surgical technique are often different in the elderly compared to younger patients. Other matters regarding informed consent are also often complex and must take into consideration patient competence and family issues. Screening recommendations for modalities such as colonoscopy may apply differently to the elderly patient and current guidelines provide a rationale for appropriate selection. Optimizing surgical outcomes in the elderly patient requires a holistic, judicious, and compassionate approach.

Keywords

Fecal Incontinence Rectal Prolapse Transanal Endoscopic Microsurgery Sacral Nerve Stimulation Sphincter Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 25.1

Endoscopic mucosal resection (EMR) of a polyp (MPG 14,866 kb)

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Division of Colon and Rectal Surgery, Department of SurgeryPennsylvania Hospital/Hospital of the University of Pennsylvania, University of PennsylvaniaPhiladelphiaUSA
  2. 2.Division of Colon and Rectal Surgery, Department of SurgeryPennsylvania Hospital, University of PennsylvaniaPhiladelphiaUSA

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