Back to Search
Start Over
The efficacy and safety of colonoscopy in nonagenarians: A multicenter study.
- Source :
-
Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology [Indian J Gastroenterol] 2020 Dec; Vol. 39 (6), pp. 557-564. Date of Electronic Publication: 2020 Oct 15. - Publication Year :
- 2020
-
Abstract
- Introduction: The number of colonoscopy (CS) for the elderly is increasing. There are only a few reports focusing on CS among the very elderly aged ≥ 90-y. We aimed to analyze the efficacy of CS and of colorectal cancer (CRC) for patients aged ≥ 90-y.<br />Methods: We retrospectively analyzed consecutive patients aged ≥ 90-y receiving CS at eight institutions from October 2016 to September 2017. Bowel preparation, complications, and endoscopic diagnosis were analyzed. The non-elderly group aged between 50-y and 64-y and elderly group aged between 65-y and 79-y were compared to very-elderly group aged ≥ 90-y. Through propensity score matching of sex and CS indications (symptomatic or asymptomatic), the number of CRC and the treatment in each group were analyzed.<br />Results: We analyzed 125 patients receiving 154 colonoscopies (0.9%) in the very-elderly group from among 16,968 cases. Among 92 cases who received bowel-cleansing solution, good preparations were achieved in 94.5%. The rate of CS-related complications was 1.3% (2/154). The rate of CRC in the very-elderly group was 27.2% (34/125), higher than the non-elderly group (7.2%, 9/125, p < 0.01) and elderly group (8.8%, 11/125, p < 0.01). Therapeutic interventions for CRC in the very-elderly group were performed in 73.5% (24/34) patients. The mean survival of 12 patients with CRC resection was 788 days.<br />Conclusions: CS could be performed safely for the very elderly aged ≥ 90-y with careful considerations. CRC was confirmed to be more frequent in this group with over 70% of patients receiving appropriate therapeutic intervention.
- Subjects :
- Age Factors
Aged
Aged, 80 and over
Colonoscopy adverse effects
Colonoscopy mortality
Colorectal Neoplasms pathology
Female
Humans
Male
Middle Aged
Propensity Score
Retrospective Studies
Safety
Survival Rate
Treatment Outcome
Colonoscopy methods
Colorectal Neoplasms diagnosis
Colorectal Neoplasms surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0975-0711
- Volume :
- 39
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 33057909
- Full Text :
- https://doi.org/10.1007/s12664-020-01066-3