BACKGROUND: A larger number of older patients are presenting as candidates for esophageal resection. An aggressive surgical approach in this population is controversial. METHODS: Four hundred thirteen patients with esophageal cancer who presented to Roswell Park Cancer Institute from 1991 to 1998 were retrospectively reviewed. Clinical data, perioperative details, and postoperative courses were compared for patients older and younger than 70 years. RESULTS: One hundred forty-seven patients (36%) were older than 70 years. Risk factors, clinical symptoms, histology, and stage at presentation were equivalent for both age groups. A higher percentage of patients <70 years were candidates for curative resection. There were no significant differences between groups for estimated blood loss, intraoperative transfusions, length of stay, overall morbidity, or mortality. Only postoperative myocardial infarction and atrial fibrillation were increased in the older group. Excluding stage IV disease, there was a significant and similar improvement in median survival after resection for patients both <70 years and >70 years. CONCLUSIONS: In conclusion, esophageal cancer in older patients warrants surgical resection because the benefit to the patient is the same as it is for younger patients, without a significant increase in operative morbidity or mortality.
BACKGROUND: A larger number of older patients are presenting as candidates for esophageal resection. An aggressive surgical approach in this population is controversial. METHODS: Four hundred thirteen patients with esophageal cancer who presented to Roswell Park Cancer Institute from 1991 to 1998 were retrospectively reviewed. Clinical data, perioperative details, and postoperative courses were compared for patients older and younger than 70 years. RESULTS: One hundred forty-seven patients (36%) were older than 70 years. Risk factors, clinical symptoms, histology, and stage at presentation were equivalent for both age groups. A higher percentage of patients <70 years were candidates for curative resection. There were no significant differences between groups for estimated blood loss, intraoperative transfusions, length of stay, overall morbidity, or mortality. Only postoperative myocardial infarction and atrial fibrillation were increased in the older group. Excluding stage IV disease, there was a significant and similar improvement in median survival after resection for patients both <70 years and >70 years. CONCLUSIONS: In conclusion, esophageal cancer in older patients warrants surgical resection because the benefit to the patient is the same as it is for younger patients, without a significant increase in operative morbidity or mortality.
Authors: Zohra Faiz; Valery E P P Lemmens; Peter D Siersema; Grard A P Nieuwenhuijzen; Michel W J M Wouters; Tom Rozema; Jan Willem W Coebergh; Bas P L Wijnhoven Journal: World J Surg Date: 2012-12 Impact factor: 3.352
Authors: Christopher C Stahl; Dennis J Hanseman; Koffi Wima; Jeffrey M Sutton; Gregory C Wilson; Samuel F Hohmann; Shimul A Shah; Daniel E Abbott Journal: J Gastrointest Surg Date: 2014-05-28 Impact factor: 3.452
Authors: Harry H Yoon; Maliha Khan; Qian Shi; Stephen D Cassivi; Tsung-Teh Wu; J Fernando Quevedo; Patrick A Burch; Frank A Sinicrope; Robert B Diasio Journal: Mayo Clin Proc Date: 2010-12 Impact factor: 7.616
Authors: B B Pultrum; D J Bosch; M W N Nijsten; M G G Rodgers; H Groen; J P J Slaets; J Th M Plukker Journal: Ann Surg Oncol Date: 2010-02-24 Impact factor: 5.344
Authors: Deirdre P Cronin-Fenton; Margaret M Mooney; Limin X Clegg; Linda C Harlan Journal: World J Gastroenterol Date: 2008-05-28 Impact factor: 5.742