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30 Ιουν 2016 · Unlike colonoscopy, which has been associated with higher perforation rates in patients older than 65 and higher rates of pulmonary, cardiovascular, and total complications in patients 80 years and older, upper endoscopy has been shown by several small studies to be safe in the elderly [29–31].
1 Μαρ 2021 · Endoscopy can diagnose precancerous lesions and early cancer with relatively low invasiveness, thus improving the survival rate of patients [ 3 ]. People with high-risk factors for gastric cancer and colon cancer are more likely than others to develop those diseases.
The relative survival rate for CRC is 64% at 5 years following diagnosis and 58% at 10 years. The most important predictor of CRC survival is stage at diagnosis. The 5-year survival rate is 90% for patients diagnosed with localized-stage disease, but declines to 71% and 14% for those diagnosed with regional and distant stages, respectively[ 1 ].
Screening endoscopy after 75 years of age was associated with reduced risk of CRC incidence (multivariable hazard ratio [HR], 0.61; 95% CI, 0.51-0.74) and CRC-related mortality (HR, 0.60; 95% CI, 0.46-0.78), regardless of screening history.
3 Ιαν 2020 · Screening and ongoing surveillance should be considered in patients who have a life expectancy of 10 years or more. Life expectancy estimates can be calculated using online calculators. If screening is deemed appropriate, the choice of which test to use first is unclear.
1 Ιαν 2012 · Gastrointestinal endoscopy is safe and efficacious in the elderly. In the older adults, colorectal cancer screening or surveillance with colonoscopy is best individualized based upon general health and comorbidity. Colonoscopies performed for bleeding or...
19 Ιουν 2020 · The study shows that diagnostic and screening colonoscopies detects significantly more colon and rectal cancers compared with surveillance colonoscopies, which suggests that providers could consider discontinuation or longer intervals for surveillance colonoscopy in elderly patients.
