Patología quirúrgica abdominal en el paciente de edad avanzada

  1. F.J. González Rodríguez 1
  2. Jesús Pedro Paredes Cotoré 1
  3. Manuel Paz Novo 1
  4. Ana María Paulos Gómez 1
  5. María Sánchez Wonenburger 1
  6. Elías Domínguez Comesaña 1
  7. Miguel Caínzos Fernández 1
  1. 1 Departamento de Cirugía. Servicio de Cirugía General. Complejo Hospitalario Universitario de Santiago de Compostela. Universidad de Santiago de Compostela. Santiago de Compostela. A Coruña, España
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Ano de publicación: 2020

Serie: 13

Número: 10

Páxinas: 551-562

Tipo: Artigo

DOI: 10.1016/J.MED.2020.06.003 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Medicine: Programa de Formación Médica Continuada Acreditado

Indicadores

Citas recibidas

  • Citas en Scopus: 0 (14-01-2023)

SCImago Journal Rank

  • Ano 2020
  • Impacto SJR da revista: 0.104
  • Cuartil maior: Q4
  • Área: Medicine (miscellaneous) Cuartil: Q4 Posición na área: 2392/2526

Scopus CiteScore

  • Ano 2020
  • CiteScore da revista: 0.1
  • Área: Medicine (all) Percentil: 5

Resumo

Abdominal surgical pathology in elderly patient is relevant because of two fundamental factors: life expectancy rises and some features of the elderly patients make the diagnosis and treatment a challenge. The prevalence of acute diverticulitis increases with age and usually is located in bowel sigmoid. Diagnosis relies on clinical history and computed tomography (CT). Treatment is conservative (antibiotics), surgery is required only if complications. The diagnosis of acute cholecystitis is based on clinical history and ultrasound; frequently, treatment is surgical with laparoscopic approach. The early diagnosis of acute intestinal ischemia is based on a high level of clinical suspicion and CT angiography is mandatory. Surgical treatment is based on revascularization and non-viable bowel resection. Sigmoid volvulus is the most frequent. Diagnosis is carried out using CT. Initial treatment is endoscopic decompression accompanied by delayed resection of redundant sigma.

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