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3 Ιαν 2020 · The main benefit of colonoscopy is that it enables both screening and polyp removal in a single procedure. With adequate resection of polyps, the risk of CRC should be mitigated. Although the procedure is cost-effective, the risk of complications is increased in older adults.
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An otherwise healthy young female patient presented with a...
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20 Ιουλ 2020 · A new study shows that older adults are at a slightly higher risk of complications after having a colonoscopy. An additional study found a high-quality colonoscopy is associated with over 17 years' worth of lower colorectal cancer risk. Regardless of new findings, current colonoscopy and colorectal cancer screening recommendations remain in place.
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.
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.
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.
15 Ιουν 2021 · His team found that the risk of dying from colorectal cancer was reduced by more than a third in people over age 75 who had been screened by colonoscopy or sigmoidoscopy, compared with people in the same age group who did not undergo either of these screening tests.
13 Μαρ 2020 · Among patients older than 80 years, the incidence rates for these cumulative gastrointestinal adverse events was 34.9 per 1000 colonoscopies, with octogenarians having a 70% greater risk for “experiencing a cumulative [gastrointestinal] adverse event” compared with younger patients. 16
