Emergency Abdominal Digestive Surgery in Elderly: Indications and Results in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea

Labile Togba Soumaoro; Saa Yawo Kondano; Naby Fofana; Mamadouba Fatou Soumah; Naby Laye Youssouf Camara; Houssein Fofana; Aboubacar Toure; Aissatou Taran Diallo

doi:doi:10.11648/j.js.20221003.13

Emergency Abdominal Digestive Surgery in Elderly: Indications and Results in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea

Labile Togba Soumaoro, Saa Yawo Kondano, Naby Fofana, Mamadouba Fatou Soumah, Naby Laye Youssouf Camara, Houssein Fofana, Aboubacar Toure, Aissatou Taran Diallo

Published in Journal of Surgery (Volume 10, Issue 3)

Received: 22 April 2022 Accepted: 5 May 2022 Published: 12 May 2022

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Introduction: In an emergency, the physician has little time to explore the patient, which suggests that the diagnostic and therapeutic management is approximate, with the result that there is a certain reluctance to operate on the elderly. The purpose of this study was to determine the indications and results of abdominal digestive surgery in persons aged 60 years and older. Patients and methods: This was a 24-month prospective study (January 2020 to December 2021) of patients aged 60 years and over admitted and operated in emergency for abdominal digestive disease in the general surgery department of the Ignace Deen National Hospital of Conakry, Guinea. Results: we collected data from 80 patients aged 60 years and over who had surgery in emergency for digestive abdominal disease, representing 4.02% of the interventions. The patients were 47 men and 33 women. The age group 60 to 74 years was the most represented (78.75%). Acute bowel obstruction (27.5%), peptic ulcer perforation (22.5%), appendicular peritonitis (13.75%) and typhoid ileal perforation (11.25%) were the most noted surgical indications. The overall mortality rate was 13.75%. Conclusion: The presence of various comorbidities increases the risk of death for elderly undergoing any abdominal digestive surgery in emergency particularly in resources limited settings.

Published in	Journal of Surgery (Volume 10, Issue 3)
DOI	10.11648/j.js.20221003.13
Page(s)	107-110
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Abdominal Digestive Surgery, Emergency, Elderly, Guinea

References

[1]	Mc Intyre R, Reinbach D, Cuschieri RJ. Abdominal Surgery in elderly. JR Coll Surg Edimb 1997; 42: 173-8.
[2]	Nishida K, Okinaga K, Miyazawa Y, Suzuki K, Tanaka M, Hatano M. et al. Emergency abdominal surgery in patients aged 80 years and older. Surg Today 2000; 30: 22-7.
[3]	Zerbib Ph, Kulick JF, Lebuffe G, Khoury-helou Plenier I. Emergency major abdominal surgery in patients over 85 years of age. World J Surg 2005; 29: 820-5. 52.
[4]	Launay Savary E. Buc E. Nini R. Lhopitaux K. Slim J. Chipponi D. La chirurgie digestive lourde après 80 ans: Étude rétrospective de 54 cas. La Presse Medicale 2004; 33 (15): 997-1003.
[5]	Gurleyik G, Gurlekik E, Unalmiser S. Abdominal surgical emergency in the elderly. Turk J Gastroenterol 2002; 13: 47-52.
[6]	Ucheddu A, Floris G, Pisanu A, Cois A, Farci SL. Surgery for perforated peptic ulcer in the elderly. Evaluation of factors influencing prognosis. Hepatogastroenterology 2003; 50: 1956-8.
[7]	Kulah B, Gulgez B, Ozer MV, Coskun F. Emergency bowel in the elderly. Turk J Gastroenterol 2003; 14: 189-93.
[8]	Lebeau R, Diané B, Kassi ABF, Yénon KS, Kouassi JC Urgences abdominales digestives non traumatiques chez les sujets âgés au CHU de Cocody à Abidjan, Côte d’Ivoire: étiologies et résultats thérapeutiques. Med Trop 2011; 71: 241-244.
[9]	Arenal JJ, Bengoecheo-Beeby M. Mortality associated with emergency abdominal surgery in the elderly. Can J Surg 2003; 46: 111-6.
[10]	Lunca S, Bowas G, Romedea NS. Acute appendicitis in the elderly patient: Diagnostic problems prognostic factors and outcomes. Romanian Journal of Gastroenterology 2004; 13: 299-303.
[11]	Khoja HR, Garg D, Gupta M, Naga RC. Evaluation of risk factor and outcome of surgery in elderly patients. Journal of the Indian Academy of Geriatrics 2008; 1: 14-7.
[12]	Mittinen P, Pasanen P, Lahtinen J, Alhava E. The outcome of elderly patients after operation for acute abdomen. Ann Chir Gynaecol 1996; 85: 11-5.
[13]	Espinoza R, Balbontin P, Feuerhake S, Pinera C. Acute Abdomen in the elderly. Rev Med Chil 2004; 132: 1505-12.
[14]	Fomaro R, Stabilini C, Picori E, Frascio M, Riccci B, Canaletti M et al. Abdominal emergency surgery in the geriatric patients our experience. G Chir 2006; 27: 137- 44.
[15]	Erkan Ozkan, Mehmet Mahir Fersahoğlu, Ender Dulundu, Yahya Ozel, Mehmet Kamil Yıldız, Umit Topaloğlu. Factors affecting mortality and morbidity in emergency abdominal surgery in geriatric patients Ulus Travma Acil Cerrahi Derg, 2010 sept; 16 (5): 439-44.
[16]	I Di Carlo, A Toro, F Sparatore, S Primo, F Barbagallo, M Di Blasi Emergency gastric ulcer complications in elderly. Factors affecting the morbidity and mortality in relation to therapeutic approaches Minerva Chir. 2006 Aug; 61 (4): 325-32.
[17]	Abbas Saleh, Booth Michael. Major abdominal surgery in octogenarians. The New Zealand Medical Journal, 2003; 2003, 116 (1172): U402.
[18]	Rangel EL, Cooper Z, Olufajo OA et al. Mortality after emergency surgery continues to rise after discharge in the elderly: predictors of 1-year mortality. J Trauma Acute Care Surg 2015; 79 (3): 349-58.
[19]	Rosenthal RA, Andersen DK. Physiologic considerations in the elderly surgical patient. In «Miller TA. Modern Surgical Care». MO: Quality Medical Publishing Inc ed, 2nd ed, St Louis, 1998, pp 1362-84.
[20]	Elin K Aakre, Atle Ulvik, Karl O Hufthammer, Ib Jammer. Mortality and complications after emergency laparotomy in patients above 80 years. Acta Anaesthesiol Scand 2020; 64 (7): 913-919.
[21]	Hechi ME, Kongkaewpaisan N, Moheb ME et al. The emergency surgery score (ESS) and outcomes in elderly patients undergoing emergency laparotomy. A post-hoc analysis of an EAST multicenter stydy. Am J Surg 2021; 221 (5): 1069-1075.
[22]	Zattoni D, Saur NM, Bacchi et al. Prediction of functional loss in emergency surgery is possible with a simple frailty screening tool. World J Emerg Surg 2021; 16 (1): 12.

Cite This Article

Plain Text BibTeX RIS

APA Style

Labile Togba Soumaoro, Saa Yawo Kondano, Naby Fofana, Mamadouba Fatou Soumah, Naby Laye Youssouf Camara, et al. (2022). Emergency Abdominal Digestive Surgery in Elderly: Indications and Results in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea. Journal of Surgery, 10(3), 107-110. https://doi.org/10.11648/j.js.20221003.13

Copy | Download

ACS Style

Labile Togba Soumaoro; Saa Yawo Kondano; Naby Fofana; Mamadouba Fatou Soumah; Naby Laye Youssouf Camara, et al. Emergency Abdominal Digestive Surgery in Elderly: Indications and Results in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea. J. Surg. 2022, 10(3), 107-110. doi: 10.11648/j.js.20221003.13

Copy | Download

AMA Style

Labile Togba Soumaoro, Saa Yawo Kondano, Naby Fofana, Mamadouba Fatou Soumah, Naby Laye Youssouf Camara, et al. Emergency Abdominal Digestive Surgery in Elderly: Indications and Results in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea. J Surg. 2022;10(3):107-110. doi: 10.11648/j.js.20221003.13

Copy | Download

@article{10.11648/j.js.20221003.13,
  author = {Labile Togba Soumaoro and Saa Yawo Kondano and Naby Fofana and Mamadouba Fatou Soumah and Naby Laye Youssouf Camara and Houssein Fofana and Aboubacar Toure and Aissatou Taran Diallo},
  title = {Emergency Abdominal Digestive Surgery in Elderly: Indications and Results in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea},
  journal = {Journal of Surgery},
  volume = {10},
  number = {3},
  pages = {107-110},
  doi = {10.11648/j.js.20221003.13},
  url = {https://doi.org/10.11648/j.js.20221003.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221003.13},
  abstract = {Introduction: In an emergency, the physician has little time to explore the patient, which suggests that the diagnostic and therapeutic management is approximate, with the result that there is a certain reluctance to operate on the elderly. The purpose of this study was to determine the indications and results of abdominal digestive surgery in persons aged 60 years and older. Patients and methods: This was a 24-month prospective study (January 2020 to December 2021) of patients aged 60 years and over admitted and operated in emergency for abdominal digestive disease in the general surgery department of the Ignace Deen National Hospital of Conakry, Guinea. Results: we collected data from 80 patients aged 60 years and over who had surgery in emergency for digestive abdominal disease, representing 4.02% of the interventions. The patients were 47 men and 33 women. The age group 60 to 74 years was the most represented (78.75%). Acute bowel obstruction (27.5%), peptic ulcer perforation (22.5%), appendicular peritonitis (13.75%) and typhoid ileal perforation (11.25%) were the most noted surgical indications. The overall mortality rate was 13.75%. Conclusion: The presence of various comorbidities increases the risk of death for elderly undergoing any abdominal digestive surgery in emergency particularly in resources limited settings.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - Emergency Abdominal Digestive Surgery in Elderly: Indications and Results in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea
AU  - Labile Togba Soumaoro
AU  - Saa Yawo Kondano
AU  - Naby Fofana
AU  - Mamadouba Fatou Soumah
AU  - Naby Laye Youssouf Camara
AU  - Houssein Fofana
AU  - Aboubacar Toure
AU  - Aissatou Taran Diallo
Y1  - 2022/05/12
PY  - 2022
N1  - https://doi.org/10.11648/j.js.20221003.13
DO  - 10.11648/j.js.20221003.13
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 107
EP  - 110
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20221003.13
AB  - Introduction: In an emergency, the physician has little time to explore the patient, which suggests that the diagnostic and therapeutic management is approximate, with the result that there is a certain reluctance to operate on the elderly. The purpose of this study was to determine the indications and results of abdominal digestive surgery in persons aged 60 years and older. Patients and methods: This was a 24-month prospective study (January 2020 to December 2021) of patients aged 60 years and over admitted and operated in emergency for abdominal digestive disease in the general surgery department of the Ignace Deen National Hospital of Conakry, Guinea. Results: we collected data from 80 patients aged 60 years and over who had surgery in emergency for digestive abdominal disease, representing 4.02% of the interventions. The patients were 47 men and 33 women. The age group 60 to 74 years was the most represented (78.75%). Acute bowel obstruction (27.5%), peptic ulcer perforation (22.5%), appendicular peritonitis (13.75%) and typhoid ileal perforation (11.25%) were the most noted surgical indications. The overall mortality rate was 13.75%. Conclusion: The presence of various comorbidities increases the risk of death for elderly undergoing any abdominal digestive surgery in emergency particularly in resources limited settings.
VL  - 10
IS  - 3
ER  -

Copy | Download

Author Information

Labile Togba Soumaoro

Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea
Saa Yawo Kondano

Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea
Naby Fofana

Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea
Mamadouba Fatou Soumah

Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea
Naby Laye Youssouf Camara

Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea
Houssein Fofana

Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea
Aboubacar Toure

Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea
Aissatou Taran Diallo

Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Labile Togba Soumaoro, Saa Yawo Kondano, Naby Fofana, Mamadouba Fatou Soumah, Naby Laye Youssouf Camara, et al. (2022). Emergency Abdominal Digestive Surgery in Elderly: Indications and Results in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea. Journal of Surgery, 10(3), 107-110. https://doi.org/10.11648/j.js.20221003.13

Copy | Download

ACS Style

Labile Togba Soumaoro; Saa Yawo Kondano; Naby Fofana; Mamadouba Fatou Soumah; Naby Laye Youssouf Camara, et al. Emergency Abdominal Digestive Surgery in Elderly: Indications and Results in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea. J. Surg. 2022, 10(3), 107-110. doi: 10.11648/j.js.20221003.13

Copy | Download

AMA Style

Labile Togba Soumaoro, Saa Yawo Kondano, Naby Fofana, Mamadouba Fatou Soumah, Naby Laye Youssouf Camara, et al. Emergency Abdominal Digestive Surgery in Elderly: Indications and Results in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea. J Surg. 2022;10(3):107-110. doi: 10.11648/j.js.20221003.13

Copy | Download

@article{10.11648/j.js.20221003.13,
  author = {Labile Togba Soumaoro and Saa Yawo Kondano and Naby Fofana and Mamadouba Fatou Soumah and Naby Laye Youssouf Camara and Houssein Fofana and Aboubacar Toure and Aissatou Taran Diallo},
  title = {Emergency Abdominal Digestive Surgery in Elderly: Indications and Results in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea},
  journal = {Journal of Surgery},
  volume = {10},
  number = {3},
  pages = {107-110},
  doi = {10.11648/j.js.20221003.13},
  url = {https://doi.org/10.11648/j.js.20221003.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221003.13},
  abstract = {Introduction: In an emergency, the physician has little time to explore the patient, which suggests that the diagnostic and therapeutic management is approximate, with the result that there is a certain reluctance to operate on the elderly. The purpose of this study was to determine the indications and results of abdominal digestive surgery in persons aged 60 years and older. Patients and methods: This was a 24-month prospective study (January 2020 to December 2021) of patients aged 60 years and over admitted and operated in emergency for abdominal digestive disease in the general surgery department of the Ignace Deen National Hospital of Conakry, Guinea. Results: we collected data from 80 patients aged 60 years and over who had surgery in emergency for digestive abdominal disease, representing 4.02% of the interventions. The patients were 47 men and 33 women. The age group 60 to 74 years was the most represented (78.75%). Acute bowel obstruction (27.5%), peptic ulcer perforation (22.5%), appendicular peritonitis (13.75%) and typhoid ileal perforation (11.25%) were the most noted surgical indications. The overall mortality rate was 13.75%. Conclusion: The presence of various comorbidities increases the risk of death for elderly undergoing any abdominal digestive surgery in emergency particularly in resources limited settings.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - Emergency Abdominal Digestive Surgery in Elderly: Indications and Results in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea
AU  - Labile Togba Soumaoro
AU  - Saa Yawo Kondano
AU  - Naby Fofana
AU  - Mamadouba Fatou Soumah
AU  - Naby Laye Youssouf Camara
AU  - Houssein Fofana
AU  - Aboubacar Toure
AU  - Aissatou Taran Diallo
Y1  - 2022/05/12
PY  - 2022
N1  - https://doi.org/10.11648/j.js.20221003.13
DO  - 10.11648/j.js.20221003.13
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 107
EP  - 110
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20221003.13
AB  - Introduction: In an emergency, the physician has little time to explore the patient, which suggests that the diagnostic and therapeutic management is approximate, with the result that there is a certain reluctance to operate on the elderly. The purpose of this study was to determine the indications and results of abdominal digestive surgery in persons aged 60 years and older. Patients and methods: This was a 24-month prospective study (January 2020 to December 2021) of patients aged 60 years and over admitted and operated in emergency for abdominal digestive disease in the general surgery department of the Ignace Deen National Hospital of Conakry, Guinea. Results: we collected data from 80 patients aged 60 years and over who had surgery in emergency for digestive abdominal disease, representing 4.02% of the interventions. The patients were 47 men and 33 women. The age group 60 to 74 years was the most represented (78.75%). Acute bowel obstruction (27.5%), peptic ulcer perforation (22.5%), appendicular peritonitis (13.75%) and typhoid ileal perforation (11.25%) were the most noted surgical indications. The overall mortality rate was 13.75%. Conclusion: The presence of various comorbidities increases the risk of death for elderly undergoing any abdominal digestive surgery in emergency particularly in resources limited settings.
VL  - 10
IS  - 3
ER  -

Copy | Download