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TitlePrinciples and Practice of Geriatric Surgery [electronic resource] / edited by Ronnie A. Rosenthal, Michael E. Zenilman, Mark R. Katlic
ImprintNew York, NY : Springer New York : Imprint: Springer, 2001
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Descript L, 1100 p. online resource


More than two decades ago, in response to the special healthcare needs of the aging Ameriean population, interest in the field of geriatrie medieine began to grow and blossom in the United States. In 1984 and 1985, under the editorialleadership of Christine K. Cassel and William R. Hazzard, respectively, two major textbooks devoted to the medieal care of aged patients were published. These scholarly, comprehensive texts provided insight into the principles of aging and guidance in the care of the geriatrie patient. Three editions later, the need to understand the special issues involved in the medieal care of the elderly is widely accepted by intemists, primary care providers, and medieal specialists. For the editors of this book, the special issues involved in the surgieal care of the elderly have been apparent for nearly as long. Although there have been a few scholarly texts on the subject, including one in 1990 by Mark R. Katlic, general acceptance of the concept of geriatrie surgery by our surgieal and medieal colleagues has, however, lagged. This is not the result of a proportionately smaller number of older patients with surgieal disease, because cancer, cardiovascular disease, and orthopedie problems are diseases, of the aged. It is rather the result of uncertainty about the value of surgery in the elderly and concems about the risks of operations. In the past, such concems prevented primary care givers from referring patients for surgieal care and prevented surgeons from agreeing to operate


1. Cell and Molecular Aging -- 2. Demography of Aging; Comparative, Differential, and Successful Aging; Geriatric Assessment -- 3. Cancer, Carcinogenesis, and Aging -- 4. Effects of Aging on Immune Function -- 5. Nutrition, Metabolism, and Wound Healing in the Elderly -- 6. Principles of Geriatric Surgery -- 7. Aging of America: Implications for the Surgical Workforce -- 8. Should Surgery Be Rationed for the Elderly on Cost-Effectiveness Grounds? -- 9. Interacting with the Elderly Patient, Family, and Referring Physicians -- 10. Preoperative Evaluation of the Elderly Surgical Patient -- 11. Anesthetic Considerations for Geriatric Surgery -- 12. Pain Management -- 13. Drug Usage in Elderly Persons -- 14. Postoperative Outcome and Rehabilitation -- 15. Ethics in Clinical Practice -- 16. Surgery in the Frail Elderly: Nursing Home Patients -- 17. Surgery in Centenarians -- 19. Care of the Injured Elderly -- 20. Endocrinology and Aging -- 21. Surgical Diseases of the Thyroid and Parathyroid Glands -- 22. Neoplasms of the Adrenal and Endocrine Pancreas in the Elderly -- 23. Physiologic Changes and Benign Perimenopausal Breast Disease -- 24. Breast Cancer in Elderly Women -- 25. Pathogenesis and Surgical Management of Common Geriatric Ophthalmic Disorders -- 26. Physiologic Changes in the Ears, Nose, and Throat -- 27. Head and Neck Cancer in the Elderly -- 28. Physiologic Changes in Respiratory Function -- 29. Pulmonary Malignancies: Pathophysiology and Treatment -- 30. Physiologic Changes in Cardiac Function with Aging -- 31. Risk Factors for Atherosclerosis in the Elderly -- 32. Cardiac Surgery in the Elderly -- 33. Surgical Treatment of Occlusive Vascular Disease in the Elderly -- 34. Natural History and Treatment of Aneurysms -- 35. Natural History and Treatment of Extracranial Cerebrovascular Disease in the Elderly -- 36. Age-Related Physiologic Changes in the Gastrointestinal Tract -- 37. Benign Esophageal Disease in the Elderly -- 38. Esophageal Cancer in the Elderly -- 39. Pathophysiology and Treatment of Benign Diseases of the Stomach and Duodenum -- 40. Small Bowel Obstruction in the Elderly -- 41. Lower Gastrointestinal Bleeding in the Elderly -- 42. Ischemic Disorders of the Large and Small Bowel -- 43. Inflammatory Bowel Disease in the Elderly -- 44. Diverticulitis and Appendicitis in the Elderly -- 45. Benign Colorectal Disease -- 46. Neoplastic Diseases of the Colon and Rectum -- 47. Abdominal Wall Hernia in the Elderly -- 48. Hepatobiliary and Pancreatic Function: Physiologic Changes -- 49. Gallstone Disease in the Elderly -- 50. Malignant Diseases of the Gallbladder and Bile Ducts -- 51. Benign and Malignant Tumors of the Liver -- 52. Pancreatitis in the Elderly -- 53. Pancreatic Tumors: Pathophysiology and Treatment -- 54. Renal Function and Fluid and Electrolyte Balance -- 55. Urinary Incontinence in the Elderly -- 56. Renal and Bladder Neoplasms in the Elderly -- 57. Benign and Malignant Diseases of the Prostate -- 58. Benign Gynecologic Disorders in the Elderly -- 59. Gynecologic Malignancies in the Elderly -- 60. Physiologic Changes in Soft Tissue and Bone as a Function of Age -- 61. Common Benign and Malignant Skin Lesions -- 62. Orthopedic Injuries -- 63. Joint Replacement in the Elderly Patient -- 64. Effects of Aging on the Human Nervous System -- 65. Benign and Malignant Tumors of the Brain -- 66. Spinal Disorders and Nerve Compression Syndromes -- 67. Selection of Elderly Patients for Transplantation -- 68. Transplantation in Elderly Patients -- 69. Physiology of Laparoscopic Surgery -- 70. Outcomes of Minimal Access versus Open Surgical Procedures in the Elderly

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