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Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
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Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
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Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Updated: Jun 15, 2025

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Upper endoscopy in elderly patients: a multicentre, cross-sectional study.

Angelo Zullo1, Vincenzo De Francesco2, Arnaldo Amato3

  • 1Gastroenterology and Endoscopy Unit, Nuovo Regina Margherita' Hospital, Rome, Italy.

Irish Journal of Medical Science
|August 26, 2024
PubMed
Summary
This summary is machine-generated.

Upper endoscopy in elderly patients reveals a high prevalence of erosive and neoplastic lesions. However, Helicobacter pylori infection and peptic ulcer rates are declining in this demographic.

Keywords:
ElderlyErosionHistologyNeoplasiaUlcerUpper endoscopy

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Area of Science:

  • Gastroenterology
  • Endoscopy
  • Geriatric Medicine

Background:

  • Upper endoscopy frequently reveals macroscopic and histological lesions in elderly individuals.
  • Prevalence of endoscopic and histological alterations in patients over 65 years old requires assessment.

Purpose of the Study:

  • To determine the prevalence of main endoscopic and histological alterations in elderly patients (over 65 years old).

Main Methods:

  • Retrieved clinical, endoscopic, and histological data from patients undergoing upper endoscopy.
  • Performed univariate and multivariate analyses to identify significant factors.
  • Compared findings with existing epidemiological data.

Main Results:

  • 1336 elderly patients underwent upper endoscopy; 31.4% had macroscopic lesions.
  • Erosive gastritis (13.3%) and oesophagitis (9.8%) were most common; neoplasia detected in 0.6% (oesophageal), 1.8% (gastric), 0.1% (duodenal).
  • Helicobacter pylori infection found in 15.9%; precancerous gastric lesions in 14.5%. PPI therapy reduced endoscopic lesions; alarm symptoms correlated with neoplastic lesions.

Conclusions:

  • Erosive and neoplastic lesions remain highly prevalent in the elderly population.
  • Prevalence of Helicobacter pylori infection and peptic ulcers has decreased in this age group.