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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.
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An otherwise healthy young female patient presented with a...
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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.
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.
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.
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.
3 Οκτ 2024 · Doctors only recommend colonoscopies for seniors aged 76 to 85 on a case-by-case basis, due to the higher risks involved for seniors. If a colonoscopy is needed, seniors should properly prep for the procedure to ensure a safe and successful screening.
Colonoscopy-associated risks can be mitigated in older patients by conducting thorough medication review, coordinating with the prescribing provider, educating the patient about bowel preparation, adjusting sedation, and using endoscopic techniques that minimize perforation and bleed risk.