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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 · 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 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.
According to the latest guidelines regarding endoscopic practice for the elderly, one means of minimizing risk in elderly patients is to perform endoscopy with minimal or no sedation 21). To minimize the incidence of adverse events during colonoscopy for the elderly, sedation is a key issue.
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.
