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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.
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 · 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.
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...
15 Ιουν 2021 · His team found that the risk of dying from colorectal cancer was reduced by more than a third in people over age 75 who had been screened by colonoscopy or sigmoidoscopy, compared with people in the same age group who did not undergo either of these screening tests.
In elderly patients, the risks of CRC and the presenting signs and symptoms are similar to those in younger patients. Screening and ongoing surveillance should be considered in patients who have a life expectancy of 10 years or more.