Principles and Practice of Geriatric Surgery

Front Matter....Pages i-xxv
Front Matter....Pages 1-1
Cell and Molecular Aging....Pages 8-23
Demography of Aging; Comparative, Differential, and Successful Aging; Geriatric Assessment....Pages 24-37
Cancer, Carcinogenesis, and Aging....Pages 38-45
Effects of Aging on Immune Function....Pages 46-64
Nutrition, Metabolism, and Wound Healing in the Elderly....Pages 65-85
Principles of Geriatric Surgery....Pages 92-104
Aging of America: Implications for the Surgical Workforce....Pages 105-110
Should Surgery Be Rationed for the Elderly on Cost-Effectiveness Grounds?....Pages 111-117
Interacting with the Elderly Patient, Family, and Referring Physicians....Pages 118-125
Preoperative Evaluation of the Elderly Surgical Patient....Pages 126-143
Anesthetic Considerations for Geriatric Surgery....Pages 144-159
Pain Management....Pages 160-173
Drug Usage in Elderly Persons....Pages 174-184
Postoperative Outcome and Rehabilitation....Pages 185-190
Ethics in Clinical Practice....Pages 195-201
Surgery in the Frail Elderly: Nursing Home Patients....Pages 202-210
Surgery in Centenarians....Pages 211-218
Front Matter....Pages 219-219
Critical Care....Pages 225-239
Care of the Injured Elderly....Pages 240-260
Endocrinology and Aging....Pages 265-280
Front Matter....Pages 219-219
Physiologic Changes in Cardiac Function with Aging....Pages 437-447
Risk Factors for Atherosclerosis in the Elderly....Pages 448-459
Cardiac Surgery in the Elderly....Pages 460-470
Surgical Treatment of Occlusive Vascular Disease in the Elderly....Pages 475-484
Natural History and Treatment of Aneurysms....Pages 485-496
Natural History and Treatment of Extracranial Cerebrovascular Disease in the Elderly....Pages 497-506
Age-Related Physiologic Changes in the Gastrointestinal Tract....Pages 511-527
Benign Esophageal Disease in the Elderly....Pages 528-541
Esophageal Cancer in the Elderly....Pages 542-554
Pathophysiology and Treatment of Benign Diseases of the Stomach and Duodenum....Pages 555-568
Small Bowel Obstruction in the Elderly....Pages 569-579
Surgical Diseases of the Thyroid and Parathyroid Glands....Pages 281-300
Neoplasms of the Adrenal and Endocrine Pancreas in the Elderly....Pages 301-321
Physiologic Changes and Benign Perimenopausal Breast Disease....Pages 325-330
Breast Cancer in Elderly Women....Pages 331-342
Pathogenesis and Surgical Management of Common Geriatric Ophthalmic Disorders....Pages 348-367
Physiologic Changes in the Ears, Nose, and Throat....Pages 368-375
Head and Neck Cancer in the Elderly....Pages 376-390
Physiologic Changes in Respiratory Function....Pages 396-405
Pulmonary Malignancies: Pathophysiology and Treatment....Pages 406-432
Front Matter....Pages 219-219
Lower Gastrointestinal Bleeding in the Elderly....Pages 580-594
Ischemic Disorders of the Large and Small Bowel....Pages 595-608
Inflammatory Bowel Disease in the Elderly....Pages 609-619
Diverticulitis and Appendicitis in the Elderly....Pages 620-634
Benign Colorectal Disease....Pages 635-643
Neoplastic Diseases of the Colon and Rectum....Pages 644-661
Abdominal Wall Hernia in the Elderly....Pages 662-674
Hepatobiliary and Pancreatic Function: Physiologic Changes....Pages 679-689
Gallstone Disease in the Elderly....Pages 690-710
Malignant Diseases of the Gallbladder and Bile Ducts....Pages 711-728
Benign and Malignant Tumors of the Liver....Pages 729-739
Pancreatitis in the Elderly....Pages 740-747
Pancreatic Tumors: Pathophysiology and Treatment....Pages 748-759
Renal Function and Fluid and Electrolyte Balance....Pages 767-779
Urinary Incontinence in the Elderly....Pages 780-789
Renal and Bladder Neoplasms in the Elderly....Pages 790-805
Benign and Malignant Diseases of the Prostate....Pages 806-816
Benign Gynecologic Disorders in the Elderly....Pages 817-833
Gynecologic Malignancies in the Elderly....Pages 834-844
Physiologic Changes in Soft Tissue and Bone as a Function of Age....Pages 850-866
Front Matter....Pages 219-219
Common Benign and Malignant Skin Lesions....Pages 867-884
Orthopedic Injuries....Pages 885-899
Joint Replacement in the Elderly Patient....Pages 900-920
Effects of Aging on the Human Nervous System....Pages 926-948
Benign and Malignant Tumors of the Brain....Pages 949-956
Spinal Disorders and Nerve Compression Syndromes....Pages 957-981
Selection of Elderly Patients for Transplantation....Pages 989-994
Transplantation in Elderly Patients....Pages 995-1017
Physiology of Laparoscopic Surgery....Pages 1021-1035
Outcomes of Minimal Access versus Open Surgical Procedures in the Elderly....Pages 1036-1053
Back Matter....Pages 1055-1098