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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.
- Acquired Beauty Mark
An otherwise healthy young female patient presented with a...
- Acquired Beauty Mark
20 Ιουλ 2020 · Colonoscopies are an important detection tool for colorectal cancer. While new research suggests colonoscopies can lead to an increased risk of complications in older adults, it’s best to talk to your doctor for personalized recommendations based on your individual risk and age. 5 Sources.
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.
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 · This paper is aimed at the general physician and examines the role of colonoscopy in very elderly patients by exploring the particular risks in this population, the yield of colonoscopy and potential alternative investigations.
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.
17 Δεκ 2003 · Colonoscopy can be completed in over 97% of patients who are 80 years of age and older. The complication rate is low, and colonoscopy is not significantly more difficult than in younger patients. Colonoscopy should be the preferred method of colonic investigation in elderly patients.
