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Related Experiment Videos

Colonoscopy in the very old: why bother?

K K Y Yoong1, T Heymann

  • 1Department of Gastroenterology, Kingston Hospital NHS Trust, Galsworthy Road, Kingston upon Thames KT2 7QB, UK. k_y_yoong@hotmail.com

Postgraduate Medical Journal
|March 8, 2005
PubMed
Summary
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Colonoscopy is valuable for patients over 85, detecting polyps and malignancy with few complications. Age alone should not prevent this important diagnostic procedure.

Area of Science:

  • Gastroenterology
  • Geriatric Medicine
  • Diagnostic Procedures

Background:

  • Colonoscopy is a key diagnostic tool for lower gastrointestinal symptoms.
  • The utility and safety of colonoscopy in very elderly patients (≥85 years) require evaluation.
  • Ensuring age-inclusive healthcare services is an important consideration.

Purpose of the Study:

  • To assess the efficacy and outcomes of colonoscopy in patients aged 85 years and older.
  • To determine if colonoscopy provides significant diagnostic yield in this specific demographic.
  • To evaluate whether ageism impacts access to this procedure.

Main Methods:

  • A retrospective audit was conducted.
  • Data were collected from patients aged 85 years and above who underwent colonoscopy over a five-year period.

Related Experiment Videos

  • Indications, findings, and outcomes, particularly for colonic cancers, were analyzed.

    • Main Results:

    • Colonoscopy was successfully completed in 69% of cases, with poor bowel preparation and diverticular disease being primary reasons for failure.
    • A causative finding was identified in 37% of patients.
    • Polyps were detected in 14.2% and malignancy in 8.8% of cases.

    Conclusions:

    • Colonoscopy demonstrates significant diagnostic value in patients aged 85 and older, with a notable yield for polyps and malignancies.
    • The procedure was associated with minimal complications in this age group.
    • Increasing age should not be a barrier to undergoing colonoscopy.