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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.
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.
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 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.
Prevention and management of colonoscopy-associated risks in older patients. Screening colonoscopy carries the risk of major adverse events such as perforation, bleeding and cardiopulmonary complications. In addition to risks of the procedure, there are risks associated with the bowel preparation and sedation required for the colonoscopy.
19 Ιουν 2020 · The study found that patients grouped by age into 75–79, 80–84, 85–89, and ≥90 years for all colonoscopy indications had a significant, progressive increase in rates of colorectal cancer and advanced lesions with increased age (P value trends <.0001–.0005).
