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- Title
Lower Gastrointestinal Endoscopy in Elderly: A Single-center Experience.
- Authors
Ergenç, Muhammer; Uprak, Tevfik Kıvılcım
- Abstract
Objective: Endoscopic procedures are frequently applied to the elderly population over 65, with the increased population of this age group. The comorbidities of this population are thought to be increased risk factors for endoscopic interventions. We need more literature on applying lower gastrointestinal (GI) endoscopy to the elderly population. This study aims to analyze the efficiency and safety of lower GI endoscopy in the aged population. Methods: We performed a retrospective observational study of patients over 65 who underwent lower GI endoscopy from January 2016 to January 2021 at the Istanbul Sultanbeyli State Hospital Endoscopy Unit. This study was approved by the local Ethics Committee and registered with ClinicalTrials.gov (NCT05012527). A total of 564 patients’ following parameters were analyzed: indications, endoscopic findings, histopathological findings, and complications of lower GI endoscopy. Results: The cecal intubation rate was 90% in colonoscopies. The inadequate bowel cleansing rate was 12.4% in colonoscopies and 13% in all lower endoscopy procedures. There was a six percent malignancy detected. The polyp detection rate is approximately 45% in colonoscopies, and polyps are seen mainly left side of the colon. The overall diagnostic yield rate is 48.7%, and colorectal cancer yield is 5.9% on colonoscopies. The complication rate was 1.2%. Conclusion: This study showed that colonoscopy in the elderly has a high diagnostic yield and can be applied safely.
- Subjects
VIRTUAL colonoscopy; BOWEL preparation (Procedure); ENDOSCOPY; OLDER people; AGE groups; COLORECTAL cancer; GEOGRAPHIC information systems
- Publication
Southern Clinics of Istanbul Eurasia, 2024, Vol 35, Issue 1, p91
- ISSN
2587-0998
- Publication type
Article
- DOI
10.14744/scie.2022.15013