Emergency colorectal cancer in old and very elderly patients: a narrative review
Carlo Bergamini, Jacopo Martellucci, Davina Perini, Paolo Prosperi, Alessio Giordano · 2026
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Description
Carlo Bergamini and four co-authors review the dangerous situation of colorectal cancer arriving as an emergency in patients over eighty. Such emergencies strike up to 46 percent of colon cancers in this age group and carry worse survival at every horizon. Blockage of the bowel is the most common crisis. The review searched three databases and folded the evidence into practical frameworks that weigh cancer surgery against frailty and patient goals.
For blockages, bridge strategies, a stent or a diverting stoma that buys time, cut early deaths compared with immediate removal in chosen patients. Perforation and sepsis call for damage control: stop the contamination fast, stabilize the patient, and defer the rest. Across all scenarios, frailty and other illnesses were the strongest predictors of outcome.
Catalog record
| CREATOR | Carlo Bergamini, Jacopo Martellucci, Davina Perini, Paolo Prosperi, Alessio Giordano |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 19 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |