SEKSEN YA�INDAN B�Y�K HASTALARDAK� ABDOM�NAL CERRAH� AC�LLER

Hamzao�lu, �smail; Ulualp, Kenan; Balkan, Tolga; �irin, Feridun

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SEKSEN YA�INDAN B�Y�K HASTALARDAK� ABDOM�NAL CERRAH� AC�LLER [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2000; 6(1): 36-38

SEKSEN YA�INDAN B�Y�K HASTALARDAK� ABDOM�NAL CERRAH� AC�LLER

�smail Hamzao�lu¹, Kenan Ulualp¹, Tolga Balkan¹, Feridun �irin¹
�stanbul �niversitesi Cerrahpa�a T�p Fak�ltesi, Genel Cerrahi Ad

Seksen ya� �st�ndeki hastalar�n say�s� giderek artmaktad�r. Bu ya� grubundaki hastalar�n cerrahi �zellikleri ise yeterince ara�t�r�lmam��t�r, 1/2/1997-28/2/1999 tarihleri aras�nda Cerrahpa�a T�p Fak�ltesi Acil Klini�inde abdominal cerrahi giri�im ge�iren hastalar�m�z�n �zelliklerini ve mortalite nedenlerini retrospektif olarak inceledik. Toplam 23 hastadan 7si f�t�k, 5'i t�kay�c� mezenter damar hastal��, 4'� akut kolesistit, 2'si duodenal �lser delinmesi ve birer hastada mide kanser delinmesi, duodenal �lser kanamas�, sigmoid kolon perforasyonu, akut appendisit, aort anevrizma r�pt�r� nedeniyle ameliyat edildiler. D�rt hasta e�lik eden hastal�klar� nedeniyle kaybedildiler. F�t�k ve safra ta�� hastal�� gibi uygun ko�ullarda tedavi edilebilecek olan hastalar�n ve t�kay�c� mesenter damar hastal��n�n s�kl�� dikkat �ekicidir. Ya�, f�t�k ve safra ta�� hastal��nda maj�r kontrendikasyon olarak d��n�lmemeli hastalar�n tedavileri geciktirilmemelidir. Akut bat�n tablosuyla ba� vuran hastalarda mezenter damar hastal��n�n s�kl�� hat�rlanmal�d�r.

Anahtar Kelimeler: YA�, AC�L CERRAH�

ABDOMINAL EMERGENCIES IN OCTOGENERIANS

�smail Hamzao�lu¹, Kenan Ulualp¹, Tolga Balkan¹, Feridun �irin¹
�stanbul �niversitesi Cerrahpa�a T�p Fak�ltesi, Genel Cerrahi Ad

The number of people over the age of 80 years increases as western population in our country. The objective of this retrospective study was to investigate the features of abdominal emergencies in Octogenarians. Review of the operating room log of Cerrahpa�a Medical School, Emergency department indicated that 23 abdominal emergency operation were performed between February 1997 and February 1999. The median age of the patients was 86 (80-104). The most frequent cause of admission was hernia (30%), and the second most common was occlusive mesenteric vascular disease (21%). Acute cholesystitis constituted third place (17%). There were two cases duodenal ulcer perforation, and one case of bleeding duodenal ulcer, gastric tumor perforation, sigmoid colon perforation, rupture of aortic aneurisma and acute appendicitis. Four patients died in hospital, an overall mortality rate of 17 per cent of operations. Avoidable disease such as hernia and biliary stones should not have been postponed because of age and should be electively treated early before complications develop. Occlusive mesenteric vascular disease was second most common emergency in this study and must be remembered in elderly patients with acute abdomen.

Keywords: AGE, EMERGENCY SURGERY

�smail Hamzao�lu, Kenan Ulualp, Tolga Balkan, Feridun �irin. ABDOMINAL EMERGENCIES IN OCTOGENERIANS. Ulus Travma Acil Cerrahi Derg. 2000; 6(1): 36-38

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