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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 U.S. Preventive Services Task Force (USPSTF) currently recommends screening for colorectal cancer (which is often done with a colonoscopy) starting at age 50 and continuing until age 75. If you're not at an increased risk of colorectal cancer, you can expect a colonoscopy every 10 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.
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 · The decision to perform colonoscopy in the very elderly must take into account the indication and expected yield, risks of the procedure, risks of bowel preparation, physical fitness of the patient, potential alternative and the ability to consent.
15 Ιουν 2021 · “There are risks involved with colonoscopy, such as bleeding and perforation of the colon, and also risks involved with the preparation, especially in older people,” Dr. Umar said. Preparing for a colonoscopy requires a thorough cleansing of the entire colon before the test, which can lead to dehydration and other problems.
19 Ιουν 2020 · A recent study on complications within 7 days after colonoscopy showed that elderly individuals >75 are at higher risk for emergency department visits and unplanned hospitalizations compared with age ≤75 (Dig Dis Sci 2019;65:1964–1970).
