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Colonoscopy in very elderly patients carries a greater risk of complications and morbidity than in younger patients, and is associated with lower completion rates and higher likelihood of poor bowel preparation.
15 Ιουν 2021 · “There are risks involved with colonoscopy, such as bleeding and perforation of the colon, and also risks involved with the preparation, especially in older people,” Dr. Umar said. Preparing for a colonoscopy requires a thorough cleansing of the entire colon before the test, which can lead to dehydration and other problems.
3 Ιαν 2020 · Currently, there are a number of modalities available to screen for CRC, including both invasive modalities (eg, colonoscopy, sigmoidoscopy, capsule colonoscopy, and computed tomographic colonography) and noninvasive modalities (fecal immunochemical test, stool DNA testing, and blood testing).
20 Ιουλ 2020 · Less than 4% of adults who undergo a colonoscopy experience complications, according to a new study published in JAMA Network Open in June. But that number is higher in older adults, especially those with underlying health conditions.
Colon screening with colonoscopy has been shown to prevent the development of CRC by allowing the excision of pre-malignant lesions and subsequently reduced the number of deaths due to colon cancer 1, 2). Therefore, average risk adults are recommended to undergo colon screening test beginning at age 50 in the US 3, 4).
Colorectal cancer (CRC) is the fourth leading cause of cancer and second leading cause of mortality from cancer in the United States. As the population ages, decisions regarding the initiation and cessation of screening and surveillance for CRC are of increasing importance.
2 Ιουν 2018 · This paper will examine the role of colonoscopy in very elderly patients for the non-endoscopist, in addition to exploring the particular risks in this population, the yield of colonoscopy, potential alternative investigations and a suggested pragmatic approach for the general physician.