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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 · In particular, healthy older individuals aged 76 to 80 years at average risk of CRC reported rates of advanced neoplasia and CRC (14.3% and 2.6%, respectively) that were twice as high as the rates in the main age group of 50 to 75 years. 9
20 Ιουλ 2020 · Colonoscopies are an important detection tool for colorectal cancer. While new research suggests colonoscopies can lead to an increased risk of complications in older adults, it’s best to talk to your doctor for personalized recommendations based on your individual risk and age.
Despite some of the risks that colonoscopy poses in older patients, the continuation of screening endoscopy among many adults older than 75 years prevents CRC incidence and death, especially among those who do not have significant comorbidities.
2 Ιουν 2018 · The incidence of colorectal cancer increases with age, meaning investigation of lower GI symptoms may well pick up relevant, serious pathology. Within the symptomatic service, the decision to undertake colonoscopy in a patient over this age usually depends on the individual’s fitness.
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.
26 Απρ 2023 · Clinicians should recognize and share with patients that risks for colonoscopy increase with age and consider neoplasia risk based on prior polyp findings.
