Acute abdominal disease in the elderly: experience from two series in Stockholm

American Journal of Surgery
G Fenyö


Two series from greater Stockholm consisting of 726 (1960 to 1968) and 1,000 (1977 to 1978) patients over age 70 years with acute abdominal complaints are presented. Almost two thirds were women. Acute cholecystitis dominated both series, but its incidence decreased from 40.8 to 26 percent in the later series. The incidence of malignant disease increased from 3 to 13.2 percent. About one third of the patients were operated on; 50 percent had postoperative complications. Some frequently occurring aberrations of the usual symptoms and signs in acute appendicitis, ileus, and perforated gastric duodenal ulcer are discussed. The overall therapeutic results improved, as judged by postoperative mortality (series I, 23.1; series II, 16 percent) and mortality associated with individual diseases (except for acute pancreatitis). However, total mortality only decreased from 14 to 11.3 percent due to the large number of malignant diseases in series II, which were associated with a mortality of 37.9 percent. In series II the median duration of stay was 10.5 days and 75 percent of the patients were discharged home.


Mar 1, 1979·Annals of Surgery·F M PenninckxJ P Beckers
Aug 5, 1978·British Medical Journal·R SalemR Firmin
Oct 1, 1978·Archives of Surgery·D J MorrowS E Wilson
Dec 1, 1976·The British Journal of Surgery·R Blake, J Lynn


Jul 1, 1994·International Journal of Bio-medical Computing·M EskelinenP Lipponen
Jul 1, 1993·Experimental Gerontology·R A Rosenthal, D K Andersen
Aug 30, 2005·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Lawrence M LewisLowell W Gerson
Nov 9, 2005·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Scott Taylor, Martin Watt
Dec 24, 1998·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·C A MarcoM C Doehring
Jan 1, 1996·Journal of Accident & Emergency Medicine·E SmythD A Macleod
May 15, 2012·World Journal of Emergency Surgery : WJES·Naoto FukudaHiroyuki Mushiake
Nov 23, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Timothy JangLawrence M Lewis
Oct 12, 2012·International Journal of General Medicine·Christopher R Macaluso, R M McNamara
Mar 6, 2010·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Ceana NezhatVadim Morozov
Sep 1, 1991·Baillière's Clinical Gastroenterology·R J Stewart
Jul 22, 1998·The American Journal of Emergency Medicine·K W Kizer, M J Vassar
Dec 1, 1990·Annals of Emergency Medicine·T F BugliosiL F Vukov
Jan 31, 2015·International Journal of Emergency Medicine·Ryan SpanglerJoseph P Martinez
Aug 1, 2016·Emergency Medicine Clinics of North America·Phillip D Magidson, Joseph P Martinez
Apr 26, 2011·Emergency Medicine Clinics of North America·Luna Ragsdale, Lauren Southerland
Mar 13, 2003·Emergency Medicine Clinics of North America·Richard A KaminRobert D Powers
Dec 1, 1984·The Australian and New Zealand Journal of Surgery·R J StewartW H Isbister
Aug 1, 1996·Emergency Medicine Clinics of North America·T G Sanson, K P O'Keefe
Dec 23, 2015·Journal of Hepato-biliary-pancreatic Sciences·Toshihiko MayumiKoichi Hirata
Oct 1, 1986·American Journal of Medical Genetics·S H BlackE Shapira
Mar 1, 1984·American Journal of Medical Genetics·J Zlotogora, G Bach
Aug 15, 2006·Gerontology·H LaurellU Gunnarsson
Dec 19, 2015·Japanese Journal of Radiology·Toshihiko MayumiKoichi Hirata
Nov 1, 2018·World Journal of Emergency Surgery : WJES·Ekin OzturkHarry van Goor
Jul 14, 2018·Current Gerontology and Geriatrics Research·Pınar Henden ÇamErdinç Şengüldür
Dec 3, 2014·Journal of Acupuncture and Meridian Studies·Chang-Gue Son
Feb 18, 2021·Journal of Forensic and Legal Medicine·Kei IkedaTakaki Ishikawa

Related Concepts

Abdomen, Acute
Hospital Stay
Postoperative Complications

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Lipidomics & Rhinovirus Infection

Lipidomics can be used to examine the lipid species involved with pathogenic conditions, such as viral associated inflammation. Discovered the latest research on Lipidomics & Rhinovirus Infection.

Alzheimer's Disease: MS4A

Variants within the membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease in genome-wide association studies. Here is the latest research on Alzheimer's disease and MS4A.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Torsion Dystonia

Torsion dystonia is a movement disorder characterized by loss of control of voluntary movements appearing as sustained muscle contractions and/or abnormal postures. Here is the latest research.

Generating Insulin-Secreting Cells

Reprogramming cells or using induced pluripotent stem cells to generate insulin-secreting cells has significant therapeutic implications for diabetics. Here is the latest research on generation of insulin-secreting cells.

Central Pontine Myelinolysis

Central Pontine Myelinolysis is a neurologic disorder caused most frequently by rapid correction of hyponatremia and is characterized by demyelination that affects the central portion of the base of the pons. Here is the latest research on this disease.

Epigenome Editing

Epigenome editing is the directed modification of epigenetic marks on chromatin at specified loci. This tool has many applications in research as well as in the clinic. Find the latest research on epigenome editing here.

Related Papers

The American Journal of Emergency Medicine
K W Kizer, M J Vassar
Annals of Emergency Medicine
T F BugliosiL F Vukov
The European Journal of Surgery = Acta Chirurgica
A A van GelovenH Obertop
ANZ Journal of Surgery
Cheung San TjiuHeung Tat Leong
© 2021 Meta ULC. All rights reserved