The Characteristics of Senior Esophageal Cancer Patients: Clinical Study of Problems and Solutions in Their Treatments Osamu Chino 1 , Hiroyasu Makuuchi 2 , Hideo Shimada 2 , Takayuki Nishi 2 , Yoshifumi Kise 2 , Tomoko Hanashi 2 , Takahiro Kenmochi 2 , Soichiro Yamamoto 2 , Tadashi Hara 2 , Hirohito Miyako 2 , Eisuke Ito 2 , Minoru Nakui 2 , Akihito Kazuno 2 , Soji Ozawa 2 , Hiroshi Kajiwara 3 , Naoya Nakamura 3 , Yutaka Imai 4 1Department of Surgery, Tokai University School of Medicine, Isehara, Japan 2Department of Surgery, Tokai University School of Medicine, Isehara, Japan 3Department of Pathology, Tokai University School of Medicine, Isehara, Japan 4Department of Radiology, Tokai University School of Medicine, Isehara, Japan Keyword: 高齢者食道癌 , 外科的切除術 , 術後合併症 , 内視鏡的切除術 , 併存疾患 pp.1755-1768
Published Date 2012/11/25
DOI https://doi.org/10.11477/mf.1403113641
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 The senior esophageal patients over 75years of age were found to be complicated frequently with disorders of circulatory and neurovascular systems, and other diseases. Their treatments were conducted mainly by endoscopic maneuvres, and less frequently by esophagectomy using the right thoraco-abdominal approach and cervical anastomosis employed in younger patients. Those standard operations give great stress to the seniors, but they have tolerated them well, thanks to improvements of operative techniques and postoperative care. after adequate indication for operation and operative mode. Those invasive operations have produced quite good results even seniors, who develop pneumonia easily. The cause of death in these cases was significantly more related to underlying diseases in the seniors. In treating senior esophageal cancer patients, the existence of their underlying diseases as well as their physical capacity should be thoroughly estimated, and the standard treatment should not be automatically applied in every case. The safety of the treatment and improvement of QOL have priority when decisions regarding treatment our mode.

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