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3 Ιαν 2020 · Specificity as high as 92%; limited data in the elderly: Requires colonoscopy if positive results; false-positive risk may increase with age: If negative results, may provide reassurance without risks of invasive testing
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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 · 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 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 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.
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.
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.
