scholarly journals Older age did not increase short-term surgical complications after laparoscopic cholecystectomy

HPB ◽  
2017 ◽  
Vol 19 ◽  
pp. S169
Author(s):  
E. Figueira ◽  
J. Rocha-Filho ◽  
T. Bacchella ◽  
T. Costa ◽  
M. Vilas-Boas ◽  
...  
2013 ◽  
Vol 471 (8) ◽  
pp. 2611-2620 ◽  
Author(s):  
Molly C. Easterlin ◽  
Douglas G. Chang ◽  
Mark Talamini ◽  
David C. Chang

Gut ◽  
1997 ◽  
Vol 41 (4) ◽  
pp. 545-548 ◽  
Author(s):  
G T Deans ◽  
P Sedman ◽  
D F Martin ◽  
C M S Royston ◽  
C K Leow ◽  
...  

Background—Endoscopic retrograde cholangiopancreatography sphincterotomy is increasingly performed in younger patients undergoing laparoscopic cholecystectomy. However, the safety of endo- scopic sphincterotomy in this age group, relative to that in older patients, is unknown.Aim—To determine whether the development of short term complications following endoscopic sphincterotomy is age related.Patients and methods—A prospective multicentre audit of 958 patients (mean age 73, range 14–97, years) undergoing a total of 1000 endoscopic sphincterotomies.Results—Two deaths occurred, both from postsphincterotomy acute pancreatitis. Postprocedural complications developed in 24 patients: pancreatitis in 10, ascending cholangitis in seven, bleeding in four, and retroperitoneal perforation in three. There were six complications (five cases of pancreatitis and one bleed; 2.2%) and no deaths in the 281 (29.3%) patients aged under 65 years. In comparison, 18 (2.6%) of the 677 patients aged over 65 years developed a complication (cholangitis in seven, pancreatitis in five, bleeding in three, and perforation in three). Patients under 35, 45, 55, and 65 years were not at significantly increased risk of complication than those over these ages (relative risk for those under compared with those over 65 years 0.83, 95% confidence intervals 0.41–1.67, p=0.74).Conclusion—Short term complications following endoscopic sphincterotomy are not related to age. Younger patients undergoing laparoscopic cholecystectomy need not be denied endoscopic sphincterotomy for fear that the risks are greater than if they undergo surgical exploration of the common bile duct.


2011 ◽  
Vol 140 (5) ◽  
pp. S-37
Author(s):  
Matti Waterman ◽  
Wei Xu ◽  
Amreen Dinani ◽  
Joanne M. Stempak ◽  
Gordon R. Greenberg ◽  
...  

2020 ◽  
Author(s):  
Khalid ibrahim ◽  
Khalid Kheirallah ◽  
Fadia Mayyas ◽  
Nizar Alwaqfi ◽  
Murtaha Alawami ◽  
...  

Abstract Objective To investigate predictors of short-term mortality after valve surgery at our center. Methods The study cohort included 346 patients who underwent different types of valve surgery, excluding redo and Bentall operations. All operations were performed through a median sternotomy using cardiopulmonary bypass. Results Mean patient age was 51.6 ± 16.1 years, and 51% were male. Approximately 21% had diabetes, and 44.6% were hypertensive. Aortic valve replacement (AVR) was performed in 125 patients (37%), mitral valve replacement (MVR) in 95 (28%), combined AVR and MVR in 42 (13%), AVR plus coronary artery bypass grafting (CABG) in 19 (6%), and MVR plus CABG in 32 (10%). Operative mortality was 5.8% (n = 20). In the bivariate-level analysis, older age, operation type, hypertension, emergency surgery, use of a biological valve in the aortic or mitral position, pump time greater than 120 minutes, and aortic clamp time greater than 60 minutes were significant predictors of 30-day mortality. Use of angiotensin-converting enzyme inhibitors, digoxin, beta-blockers, statins, and loop diuretics was associated with mortality. Older age, emergency/salvage surgery, use of beta-blockers for less than 1 month preoperatively, and use of a biological valve in the aortic position were significant and independent predictors of 30-day mortality. Conclusion Older age, emergency valve surgery, use of a biological valve, and use of beta-blockers for less than 1 month before surgery were all found to be independent predictors of mortality in patients undergoing valve surgery.


2020 ◽  
Vol 99 (7) ◽  
pp. 925-932
Author(s):  
Hans H. B. Wenzel ◽  
Roy F. P. M. Kruitwagen ◽  
Hans W. Nijman ◽  
Ruud L. M. Bekkers ◽  
Toon Gorp ◽  
...  

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Wisam Sbeit ◽  
Anas Kadah ◽  
Amir Mari ◽  
Mahmud Mahamid ◽  
Tawfik Khoury

Background. Percutaneous endoscopic gastrostomy (PEG) tube insertion is an increasingly used minimally invasive method for long-term enteral feeding. Identification of simple predictors for short-term mortality (up to one month) after PEG insertion is of paramount importance. Aim. We aimed to explore a simple noninvasive parameter that would predict survival following PEG insertion. Methods. We performed a retrospective study of all patients who underwent PEG insertion at the Galilee Medical Center from January 1, 2014 to December 30, 2018. We collected simple clinical and laboratory parameters and survival data and looked for predictors of short-term mortality. Results. A total of 272 patients who underwent PEG insertion were included. Sixty-four patients (23.5%) died within one month after PEG insertion compared to 208 patients (76.5%) who survived for more than one month. Univariate analysis revealed several short-term mortality-related predictors, including older age (OR 1.1, P=0.005), ischemic heart disease (OR 2, P=0.0197), higher creatinine level (OR 2.3, P=0.0043), and elevated CRP level and CRP-to-albumin ratio (OR 1.1, P<0.0001; OR 1.0031, P<0.0001, respectively). In multivariate logistic analysis, older age (OR 1.1, P=0.019), higher creatinine level (OR 1.6, P=0.074), and elevated CRP-to-albumin ratio (OR 1.1, P=0.002) remained significant predictors of short-term mortality after PEG insertion with an ROC of 0.7274. Conclusion. We could identify several simple parameters associated with high risk of mortality, and we recommend considering using these parameters in decision-making regarding PEG insertion. Further prospective studies are needed to validate our findings.


2015 ◽  
Vol 30 (7) ◽  
pp. 3089-3097 ◽  
Author(s):  
Andrea Pietrabissa ◽  
Luigi Pugliese ◽  
Alessio Vinci ◽  
Andrea Peri ◽  
Francesco Paolo Tinozzi ◽  
...  

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
I. Airikkala-Otter ◽  
L. Gamble ◽  
S. Mazeri ◽  
I. G. Handel ◽  
B. M. de C. Bronsvoort ◽  
...  

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