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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.
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.
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.
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.
Abstract. Recent guidelines recommend that colorectal cancer (CRC) screening after age 75 be considered on an individualized basis, and discourage screening for people over 85 due to competing causes of mortality.
Screening Lower Endoscopy at Older Than 75 Years and Risk of CRC and CRC-Related Mortality According to Screening Endoscopy at 75 Years or Younger a. View Large. Supplement. Siegel RL, Miller KD, Goding Sauer A, et al. Colorectal cancer statistics, 2020.
In patients 90 years or older, diagnostic colonoscopy is associated with increased risk for incomplete procedure, inadequate bowel preparation, and adverse events. However, a large proportion of patients are found to have advanced neoplasia and cancer, compared with pa-tients 75 to 79 years old.
