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Upper gastrointestinal endoscopy in octogenarians.

A F Safe1, D Owens

  • 1Department of Medicine and Gastroenterology, Gwynedd District General Hospital, Bangor.

The British Journal of Clinical Practice
|January 1, 1991
PubMed
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Upper gastrointestinal endoscopy (GIE) is safe and informative for octogenarians, similar to younger patients. This procedure offers valuable insights and is recommended for the elderly, even with existing health conditions.

Area of Science:

  • Gastroenterology
  • Geriatric Medicine
  • Endoscopic Procedures

Background:

  • Octogenarians represent a growing patient demographic undergoing medical interventions.
  • Upper gastrointestinal bleeding (UGIB) in the elderly necessitates careful diagnostic evaluation.
  • The safety and utility of upper gastrointestinal endoscopy (GIE) in this age group require further elucidation.

Purpose of the Study:

  • To evaluate the safety and diagnostic yield of upper GIE in octogenarians.
  • To assess the incidence of specific pathologies, such as peptic ulcer disease, in this cohort.
  • To determine the value of early endoscopic intervention in managing upper GI bleeding in the very elderly.

Main Methods:

  • Retrospective analysis of 217 upper GIE procedures performed in octogenarians over two years.

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  • Data collection included patient demographics, referral reasons, endoscopic findings, and outcomes.
  • Focus on patients presenting with upper gastrointestinal hemorrhage.

    • Main Results:

    • Upper GIE in octogenarians is safe and well-tolerated, with no reported complications.
    • The procedure provided valuable diagnostic information, comparable to other age groups.
    • Peptic ulcer disease was a less frequent cause of UGIB than previously reported.
    • Early endoscopy (within 24 hours) for UGIB aided in risk stratification and potential surgical planning.
    • Eighty percent of patients had comorbidities, yet endoscopy remained safe.

    Conclusions:

    • Upper gastrointestinal endoscopy is a safe and highly beneficial diagnostic tool for octogenarians.
    • There are no contraindications for performing upper GIE in very elderly patients.
    • Elective upper GIE is increasingly recognized for its value in managing elderly patients, including those with multiple health issues.