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Murine Endoscopy for In Vivo Multimodal Imaging of Carcinogenesis and Assessment of Intestinal Wound Healing and Inflammation
Published on: August 26, 2014
Upper gastro-intestinal endoscopy and radiology in the elderly
Postgraduate Medical Journal
|April 1, 1978
Summary
Oesophago-gastro-duodenoscopy (OGD) is safe and effective for elderly patients, complementing radiology. While missing some lesions, OGD accurately diagnoses malignancy and bleeding, proving invaluable in geriatric care.
Area of Science:
- Gastroenterology
- Geriatric Medicine
- Diagnostic Imaging
Background:
- Elderly patients present unique challenges for diagnostic procedures.
- Assessing the utility of upper gastrointestinal endoscopy in this demographic is crucial.
Purpose of the Study:
- To evaluate the efficacy, safety, and acceptability of oesophago-gastro-duodenoscopy (OGD) in elderly patients.
- To compare OGD findings with radiological examinations in this age group.
Main Methods:
- Retrospective review of 100 consecutive elderly patients undergoing OGD and radiology.
- Analysis of diagnostic concordance, missed lesions, and safety outcomes.
Main Results:
- OGD was safe and well-tolerated, proving invaluable for diagnosing malignancy and bleeding lesions.
- Radiology had a high rate of false positives and missed diagnoses compared to OGD.
- OGD had limitations in detecting hiatus hernias and was affected by obstructive lesions.
Conclusions:
- OGD is a valuable complementary diagnostic tool to radiology in elderly patients.
- It offers superior accuracy for malignancy and bleeding compared to radiology.
- Consideration of patient factors and lesion type is important for optimal diagnostic yield.
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