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Appendix, Gallbladder and Surgical Emergencies ·

Outcomes after Emergency Surgery in Older GI Cancer Patients

Older adults with gastrointestinal cancer show varied 12-month recovery trajectories post-emergency surgery, with significant implications for patient counseling and planning.

  • In a cohort of 15,398 patients, 7.2% had prolonged recovery and 13.2% faced sustained institutional dependence after surgery.
  • Key risk factors for prolonged recovery included stage IV disease (adjusted relative risk [ARR] 1.92), a Charlson Comorbidity Index greater than 2 (ARR 1.79), and frailty (ARR 4.50).
  • Major postoperative complications and extended ICU stays heightened these risks.

Surgeons should assess these factors to better predict recovery trajectories and tailor postoperative care accordingly.

Journal Article by Angez M, Woldesenbet S (…) Pawlik TM et 6 al. in J Am Coll Surg

Copyright © 2026 by the American College of Surgeons. Published by Wolters Kluwer Health, LLC. All rights reserved.

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