Chemotherapy for Gastrointestinal Cancer in Elderly Outpatients in Mountainous Area

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  • 中山間地における高齢者の消化器がんに対する内服による外来化学療法
  • ナカヤマ カンチ ニ オケル コウレイシャ ノ ショウカキ ガン ニ タイスル ナイフク ニ ヨル ガイライ カガク リョウホウ

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Abstract

  Our hospital is located in a mountainous region of Toyota City, Aichi Prefecture. In the sphere covered by our health services, about 34% of the population is 65 years or older. The graying of the community has been progressing rapidly in the past years. Many elderly people do not have a car. Only available means of transport for them are community bus servicers operated once or twice a week. The situation makes them feel disinclined to go to take physicals or visit the hospital for health screening. When we happen to detect gastrointestinal cancer in aged persons, it is often in an advanced state or too late for surgical removal, or a relapse. For some of such cases, we consider the possibilities of chemotherapy.<br>  Between April 2005 and June 2010, we performed laparotomies (including exploratory operations) on people aged 70 or older with gastrointestinal cancer. Of the patients excluding those with severe cognitive impairment and those in failing health, 25 patients underwent S-1monotherapy postoperatively. The results were no less favorable than those of the cases of younger patients who had received S-monotherapy or other forms of chemotherapy for gastrointestinal cancer. Although this comparison was not adequate because the number of cases of elderly patients was too small, our hospital regards S-1 monotherapy as one of the chemotherapeutic regimens beneficial to old people with gastrointestinal cancer and helpful in maintaining the patient's qualuty of life.

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