Emergency colorectal cancer in old and very elderly patients: a narrative review - Takeaways - MDSpire

Emergency colorectal cancer in old and very elderly patients: a narrative review

  • By

  • Carlo Bergamini

  • Jacopo Martellucci

  • Davina Perini

  • Paolo Prosperi

  • Alessio Giordano

  • May 15, 2026

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  • 1

    Colorectal cancer incidence is rising among patients aged ≥80 years, who often present with emergencies like obstruction and perforation.

  • 2

    Emergency presentations in elderly patients are linked to worse survival outcomes compared to elective diagnoses.

  • 3

    Bridge-to-surgery strategies, such as self-expanding metal stents, significantly lower early mortality in selected elderly patients.

  • 4

    Management of CRC emergencies requires integrating oncologic care with geriatric assessment and patient-centered decision-making.

  • 5

    Future research should focus on frailty-based triage models and developing geriatric-specific care pathways for emergency CRC.

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