Jove
Visualize
Contact Us

Related Experiment Videos

Colonoscopy in the elderly. Low risk, high yield

T Ure1, K Dehghan, A M Vernava

  • 1Department of Surgery, St. Louis University School of Medicine, MO 63110-0250, USA.

Surgical Endoscopy
|May 1, 1995
PubMed
Summary

Colonoscopy is useful in elderly patients but less likely to be completed. Elderly patients have a higher rate of abnormalities, including colorectal cancer, compared to younger individuals.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Surgical management of large breast tumors in the adolescent.

Pediatric surgery international·2013
Same author

Non-operative management of acute cholecystitis in the elderly.

The British journal of surgery·2012
Same author

On-line preconcentration and determination of cobalt by chelating microcolumns and flow injection atomic spectrometry.

Talanta·2008
Same author

Prophylactic ureteric catheters in laparoscopic colorectal surgery.

Techniques in coloproctology·2008
Same author

Do elderly patients benefit from laparoscopic colorectal surgery?

Surgical endoscopy·2007
Same author

Laparoscopic vs. open surgery for acute adhesive small-bowel obstruction: patients' outcome and cost-effectiveness.

Surgical endoscopy·2007
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Area of Science:

  • Gastroenterology
  • Geriatric Medicine
  • Endoscopy

Background:

  • Colonoscopy is a crucial diagnostic tool for colorectal conditions.
  • Assessing the safety and efficacy in elderly populations is vital due to physiological changes.

Purpose of the Study:

  • To evaluate the utility, morbidity, and patient tolerance of colonoscopy in elderly patients (>=70 years).
  • To compare colonoscopy outcomes in elderly patients versus a younger control group (50-70 years).

Main Methods:

  • Retrospective review of 656 patients undergoing colonoscopy over 48 months.
  • Data collected included demographics, indications, bowel preparation, completion rates, findings, and complications.
  • Comparison between elderly (>=70) and younger (50-70) patient groups.

Related Experiment Videos

Main Results:

  • Colonoscopy completion was lower in elderly patients (78%) compared to younger patients (93%) (P=0.001).
  • Elderly patients showed a higher incidence of abnormalities (74% vs 60%) and malignant colorectal neoplasia (6% vs 2%) (P<0.05).
  • Benign neoplasia rates were similar between groups.

Conclusions:

  • Colonoscopy is valuable in the elderly, despite lower completion rates.
  • Increased detection of abnormalities, including malignancy, highlights the importance of colonoscopy in this demographic.
  • Further research may optimize colonoscopy protocols for elderly patients.