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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 · 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.
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.
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.
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.
19 Ιουν 2020 · A recent study on complications within 7 days after colonoscopy showed that elderly individuals >75 are at higher risk for emergency department visits and unplanned hospitalizations compared with age ≤75 (Dig Dis Sci 2019;65:1964–1970).
