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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 · 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.
20 Ιουλ 2020 · A doctor may order a colonoscopy to help find the cause of symptoms like gastrointestinal bleeding, changes in bowel activity, abdominal pain, and unexplained weight loss, according to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK).
2 Ιουν 2018 · Colonoscopy is the gold standard for investigation of lower GI symptoms. In very elderly patients, colonoscopy may not be appropriate due to patient choice, suboptimal patient fitness and inability to consent.
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 differ- ence in the risks and benefits of the available colorectal cancer 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.
11 Ιαν 2018 · The gastrointestinal risks of colonoscopy are well-understood, with an increased risk of perforation or lower gastrointestinal bleeding. 2–5 The recent US Preventive Services Task Force technical review estimated risks of perforation of 4 per 10,000 (95% confidence interval, 2-5) and major hemorrhage of 8 per 10,000 (95% confidence interval, 5-1...
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