AIM To evaluate the clinical outcome of endoscopic submucosal dissection using the Clutch Cutter(ESDCC) in older patients. METHODS We reviewed 232 consecutive patients with early gastric cancer who underwent ESDCC bet...AIM To evaluate the clinical outcome of endoscopic submucosal dissection using the Clutch Cutter(ESDCC) in older patients. METHODS We reviewed 232 consecutive patients with early gastric cancer who underwent ESDCC between June 2010 and February 2014 at Aso Iizuka Hospital. We divided patients into two groups according to age: Older patients(> 80 years, n = 64) and non-older patients(≤ 80 years, n = 168). We retrospectively compared the prevalence rates of pre-existing comorbidities, anticoagulant therapy, en bloc resection, mean duration of hospitalization, incidence of ESDCC-related complications, change in performance status(PS) before and after ESDCC, and financial cost of admission. RESULTS The older group comprised 64 patients with a mean age of 84.1 years, and the non-older group comprised 168 patients with a mean age of 69.5 years. Older patients had significantly more pre-existing comorbidities than did non-older patients, specifically heart disease(P < 0.05). The en bloc resection rate in non-older patients was significantly higher than that in older patients(100% vs 95.3%, P = 0.02). There were no significant differences between the older and non-older groups in the incidence of ESDCC-related complications(i.e., postoperative bleeding and perforation) and the post-ESDCC change in PS. There were also no significant differences between the older and non-older groups in the mean duration of hospitalization(11.4 and 10.7 d, respectively) and financial cost of admission(657040 JPY and 574890 JPY, respectively).CONCLUSION ESDCC has a good clinical outcome in older patients.展开更多
目的提高护理质量，缩短患者在外科重症监护室（surgical Intensive Care Unit，smu）的滞留时间。方法收2001年1月～2006年9月入住SICU≥20d的危重患者，对其滞留的原因进行分析。结果滞留SICU的患者以老年患者居多，疾病分类广泛，病...目的提高护理质量，缩短患者在外科重症监护室（surgical Intensive Care Unit，smu）的滞留时间。方法收2001年1月～2006年9月入住SICU≥20d的危重患者，对其滞留的原因进行分析。结果滞留SICU的患者以老年患者居多，疾病分类广泛，病情复杂，并发症发生率及死亡率高。结论护士加强专业理论知识学习，熟悉各病种，密切观察病情变化，做好消毒隔离工作，并加强重病护理、心理护理，能减少并发症的发生率，提高抢救成功率，缩短患者在SICU滞留时间。展开更多
文摘AIM To evaluate the clinical outcome of endoscopic submucosal dissection using the Clutch Cutter(ESDCC) in older patients. METHODS We reviewed 232 consecutive patients with early gastric cancer who underwent ESDCC between June 2010 and February 2014 at Aso Iizuka Hospital. We divided patients into two groups according to age: Older patients(> 80 years, n = 64) and non-older patients(≤ 80 years, n = 168). We retrospectively compared the prevalence rates of pre-existing comorbidities, anticoagulant therapy, en bloc resection, mean duration of hospitalization, incidence of ESDCC-related complications, change in performance status(PS) before and after ESDCC, and financial cost of admission. RESULTS The older group comprised 64 patients with a mean age of 84.1 years, and the non-older group comprised 168 patients with a mean age of 69.5 years. Older patients had significantly more pre-existing comorbidities than did non-older patients, specifically heart disease(P < 0.05). The en bloc resection rate in non-older patients was significantly higher than that in older patients(100% vs 95.3%, P = 0.02). There were no significant differences between the older and non-older groups in the incidence of ESDCC-related complications(i.e., postoperative bleeding and perforation) and the post-ESDCC change in PS. There were also no significant differences between the older and non-older groups in the mean duration of hospitalization(11.4 and 10.7 d, respectively) and financial cost of admission(657040 JPY and 574890 JPY, respectively).CONCLUSION ESDCC has a good clinical outcome in older patients.
文摘目的提高护理质量，缩短患者在外科重症监护室（surgical Intensive Care Unit，smu）的滞留时间。方法收2001年1月～2006年9月入住SICU≥20d的危重患者，对其滞留的原因进行分析。结果滞留SICU的患者以老年患者居多，疾病分类广泛，病情复杂，并发症发生率及死亡率高。结论护士加强专业理论知识学习，熟悉各病种，密切观察病情变化，做好消毒隔离工作，并加强重病护理、心理护理，能减少并发症的发生率，提高抢救成功率，缩短患者在SICU滞留时间。
