| Theme |
Endoscopic Treatment for Elderly Patients with Gastro‒intestinal Cancer |
| Title |
Perioperative Management after Endoscopic Treatment of Early Gastric Cancer in the Elderly Population |
| Author |
Tomofumi Akasaka |
Department of Gastrointestinal Oncology, Osaka International Cancer Institute |
| Author |
Noriya Uedo |
Department of Gastrointestinal Oncology, Osaka International Cancer Institute |
| [ Summary ] |
The Japanese population is aging, as a result of which the number of elderly people with superficial gastric neoplasms is increasing. Endoscopic submucosal dissection (ESD) is now widely accepted as a minimally invasive technique compared to surgical treatment, and is increasingly indicated in elderly patients. Many elderly people have various comorbidities, and receive antithrombotic therapy. Several studies have reported that ESD can be safely performed for gastric neoplasms in patients who are 75 years or older, but those studies were concerned with mainly perforation and bleeding. Other studies report postoperative pneumonia and delirium after ESD in elderly patients, therefore careful perioperative management is necessary. |