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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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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.
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.
30 Μαΐ 2018 · The ACS recommends that adults aged 45 years and older with an average risk of CRC undergo regular screening with either a high-sensitivity stool-based test or a structural (visual) examination, depending on patient preference and test availability.
19 Ιουν 2020 · Patients aged 75–89 who received surveillance colonoscopy had a significantly lower risk of adenocarcinoma (P < .0001) and higher risk of advanced lesions (P < .0001–.009) compared with patients who underwent screening and diagnostic colonoscopies.
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