Colonoscopy in octogenarians and older patients

Surgical Endoscopy
J A Lagares-GarciaR A Moore

Abstract

Colonoscopy in the elderly has been considered by many to be risky because of mechanical bowel preparation and dehydration, electrolyte disturbances, conscious sedation, and hypoxic complications. We hypothesized that colonoscopy in octogenarians and older patients is a safe procedure. A retrospective review of 803 patients who underwent colonoscopy from January 1997 to October 1997 was performed. The patients were grouped by age: group A (17-49 years) had 166 patients (20%); group B (50-79 years) had 534 patients (67%); and group C (80 years and older) had 103 patients (13%). Results were considered significant at p value less than 0.05 unless otherwise noted. Blood in the stool (84%) and history of colonic vascular disease (5.8%) were the most common indication in group C (84%). Colonoscopy was used in group A (18%) more often than in the other groups to rule out inflammatory bowel disease. History of colon polyps was a more common indication in group B (20%) than in the other groups. Group A had a significantly higher incidence of normal examinations (84%) and diagnosis of inflammatory bowel disease (14%). Group B had a higher incidence of polyps than the other groups. Group C had the highest incidence of vascular disease (1...Continue Reading

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Citations

Mar 14, 2007·Surgical Endoscopy·Marc ZereyB Todd Heniford
Feb 17, 2006·Diseases of the Colon and Rectum·James E DuncanAnders F Mellgren
Apr 7, 2007·Journal of Clinical Gastroenterology·Hemda Schmilovitz-WeissEliahu Shemesh
May 15, 2013·Gastrointestinal Endoscopy·Vinay ChandrasekharaBrooks D Cash
Sep 29, 2011·Gastrointestinal Endoscopy·Lukejohn W DayMa Somsouk
Jul 15, 2015·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Jae Myung ChaOtto S Lin
Jun 26, 2003·Alimentary Pharmacology & Therapeutics·L T HeussC Beglinger
Jun 15, 2007·Journal of Clinical Pharmacology·Bruce E Sands, Gilaad G Kaplan
Mar 28, 2006·Gastrointestinal Endoscopy·Waqar A QureshiUNKNOWN Standards of Practice Committee, American Society for Gastrointestinal Endoscopy
Jun 17, 2014·World Journal of Gastrointestinal Endoscopy·Otto S Lin
Apr 27, 2011·The American Journal of Gastroenterology·Lukejohn W DayFernando Velayos
Dec 31, 2014·World Journal of Gastroenterology : WJG·Adolfo Parra-BlancoTakahiro Fujii
Jun 9, 2020·Current Neurology and Neuroscience Reports·Vyshak Alva VenurEudocia Q Lee
Oct 16, 2020·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Yoshikazu InagakiYoshito Itoh

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