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Related Experiment Videos

Gastrointestinal endoscopy in octagenarians.

J Eshchar, M M Pavlotzky, L Cohen

    Journal of Clinical Gastroenterology
    |October 1, 1986
    PubMed
    Summary

    Gastrointestinal endoscopy is safe and accurate for elderly patients with multiple comorbidities. This study found similar complication rates and diagnostic success compared to younger individuals, highlighting its utility in geriatric care.

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    Area of Science:

    • Gastroenterology
    • Geriatric Medicine
    • Diagnostic Endoscopy

    Background:

    • Elderly patients often present with multiple comorbidities, posing challenges for medical interventions.
    • The safety and efficacy of gastrointestinal endoscopy in this demographic require thorough evaluation.

    Purpose of the Study:

    • To assess the safety and accuracy of gastrointestinal endoscopy in patients aged 80-90 years.
    • To compare endoscopic findings with radiological diagnoses in this patient group.

    Main Methods:

    • Retrospective analysis of 104 gastrointestinal endoscopies (73 upper, 31 lower) in 75 patients (80-90 years old).
    • Evaluation of complication rates, diagnostic yield, and comparison with radiological findings.
    • Inclusion of emergency and routine procedures, including rigid sigmoidoscopies.

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    Main Results:

    • Low incidence of very mild, short-lived complications (vomiting, bleeding).
    • Identified common lesions: gastric ulcers (16), duodenal/pyloric ulcers (16), esophagitis (11).
    • Endoscopy demonstrated high concordance with X-ray (34/68), identified missed radiological findings (24), and had failures (10).

    Conclusions:

    • Gastrointestinal endoscopy is a safe procedure in elderly patients with significant comorbidities.
    • Diagnostic accuracy of endoscopy in this population is comparable to younger patients.
    • Endoscopy offers valuable diagnostic information, sometimes surpassing radiological methods in the elderly.