Iranian Journal of Surgery

Surgery in the Elderly

Articles in Press

Document Type : Review Article

Author

Seyed Ali Jalali

Professor of General Surgery and Gastrointestinal, Liver Disease Research Center, Iran University of Medical Sciences and Health Services, Tehran, Iran

Abstract
Geriatric age usually begins after 65, which slowly and steadily the elderly starts a decline physiologically in all his vital organs, in the heart myocyts decrease in number and fibrosis and fat replaces it, so the elderly developes conduction problems, cardiomegaly due to replacement of fat, Contraction of ventricles decreases, and atrial loose its Kick and pulmonary congestion ensues. The lungs also loose elasticity and loss of alveoli and as a result poor oxygen intake. The brain decreases its cognitive function and memory loss; and may develop delirium post operatively, the immune system gets short of B-cells and T-cells and gets prone to infection post surgery. Usually elderlies have co-morbid diseases, such as malignancy, diabetes, severe arthrosis. Cataract and heart and lungs problems; prostatism, fracturs that all together makes it a difficult postop course.

Keywords

Geriatiric Surgery
Elderly Patients
Preop and Postop care of elderlies
Iranian Journal of Surgery

Articles in Press, Accepted Manuscript
Available Online from 20 February 2026

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