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3 Ιαν 2020 · Learning Objectives: On completion of this article, you should be able to (1) recognize the risk of colorectal cancer in the elderly, (2) determine when to stop screening for colorectal cancer in the elderly, and (3) explain the difference in the risks and benefits of the available colorectal cancer screening modalities.
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An otherwise healthy young female patient presented with a...
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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.
2 Ιουν 2018 · This paper is aimed at the general physician and examines the role of colonoscopy in very elderly patients by exploring the particular risks in this population, the yield of colonoscopy and potential alternative investigations.
20 Ιουλ 2020 · The study comes a month after research published in the Annals of Internal Medicine found that having a negative screening colonoscopy (i.e., one that didn’t find anything of concern) was linked to a lower risk of both developing colorectal cancer and death for up to 17.4 years.
4 Απρ 2023 · A large share of screening colonoscopies in adults over age 75 years were performed on individuals with a limited life expectancy, a group that stands to benefit little and carries a greater...
30 Ιουν 2016 · Unlike colonoscopy, which has been associated with higher perforation rates in patients older than 65 and higher rates of pulmonary, cardiovascular, and total complications in patients 80 years and older, upper endoscopy has been shown by several small studies to be safe in the elderly [29–31].
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.