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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 · 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.
3 Ιαν 2020 · Forty-two percent of new diagnoses of CRC are in patients 65 years and older. The risk is even higher in women, with 27% of cases diagnosed at the age of 80 years and above, with 40% of deaths occurring in this age group. 1 Although age is not a modifiable risk factor for developing CRC, the benefits of screening for CRC in older adults is less ...
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.
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).
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.
The pooled incidence rates among people aged 65 years or older undergoing colonoscopy are estimated at 26 per 1000 people for cumulative gastrointestinal (GI) adverse events, 1 per 1000 people for perforation, 6 per 1000 people for GI bleeding, 19 per 1000 people for cardiovascular or pulmonary complications, and 1 per 1000 people for mortality ...
