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20 Ιουλ 2020 · A new study shows that older adults are at a slightly higher risk of complications after having a colonoscopy. An additional study found a high-quality colonoscopy is associated with over 17 years' worth of lower colorectal cancer risk. Regardless of new findings, current colonoscopy and colorectal cancer screening recommendations remain in place.
3 Ιαν 2020 · Colonoscopy and other invasive testing options are considered safe, but the risks of complications of the bowel preparation, the procedure, and sedation medications are all increased in older patients.
Colonoscopy in very elderly patients (over 80 years of age) carries a greater risk of complications, adverse events and morbidity than in younger patients, and is associated with lower completion rates and higher chance of poor bowel preparation.
Colonoscopy in the very elderly has lower efficacy for increasing life expectancy, and the benefits may be outweighed by increased risk. This is partially attributed to the fact that the elderly are more likely to die of other causes before dying from CRC.
Colonoscopy-associated risks can be mitigated in older patients by conducting thorough medication review, coordinating with the prescribing provider, educating the patient about bowel preparation, adjusting sedation, and using endoscopic techniques that minimize perforation and bleed risk.
stop screening for colorectal cancer in the elderly, and (3) explain the differ- ence in the risks and benefits of the available colorectal cancer screening modalities.
2 Ιουν 2018 · The decision to perform colonoscopy in the very elderly must take into account the indication and expected yield, risks of the procedure, risks of bowel preparation, physical fitness of the patient, potential alternative and the ability to consent.