Radiotherapy in Geriatric Gastrointestinal Cancer Patients

Abstract

As life expectancy increases, gastrointestinal (GI) cancer management becomes increasingly important in older individuals. Due to the increased surgical risks of elderly patients, studies are being conducted on alternative treatment methods such as radiotherapy (RT) or chemoradiotherapy (CRT). Although clinical trials are limited, observational data suggest that RT is effective and safe in this patient group. Advances in radiation oncology allow for the use of milder treatment options, even in elderly or frail individuals, while reducing side effects. Therefore, the treatment decision should be based not only on age but also on the general condition of the patient and the severity of concomitant diseases. Careful evaluation of geriatric patients plays a critical role in determining the most appropriate treatment method.