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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 · 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.
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.
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.
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.
17 Δεκ 2003 · Colonoscopy in patients 80 or more years of age is safe, effective, and has a high diagnostic yield. Procedure times are slightly longer, and the ileoscopy rate is lower in this age group.
30 Ιουν 2016 · Unlike colonoscopy, which has been associated with higher perforation rates in patients older than 65 and higher rates of pulmonary, cardiovascular, and total complications in patients 80 years and older, upper endoscopy has been shown by several small studies to be safe in the elderly [29–31].
