SUMMARY OF COLONOSCOPY RESULTS IN VERY ELDERLY PATIENTS AT THONG NHAT HOSPITAL

Nguyễn Thị Thanh Loan 1 , , Nguyễn Thiên Như Ý 1 , Huỳnh Việt Trung 1
1 Thong Nhat Hospital
* Corresponding author:

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2025-06-15
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1.
Thị Thanh Loan N, Thiên Như Ý N, Việt Trung H. SUMMARY OF COLONOSCOPY RESULTS IN VERY ELDERLY PATIENTS AT THONG NHAT HOSPITAL. JHA [Internet]. Vietnam; 2025 Jun. 15 [cited 2025 Jun. 23];1(2):113–118. https://tcsuckhoelaohoa.vn/bvtn/article/view/47 doi: 10.63947/bvtn.v1i2.16
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Abstract

Colonoscopy is an important procedure for diagnosing and treating lower gastrointestinal diseases. However, performing colonoscopy in very elderly patients poses many challenges, particularly in the quality of bowel preparation and the risk of complications. Objective: To describe the characteristics of colonoscopy in patients aged ≥ 80. Methods: A cross-sectional study was conducted on 254 patients aged ≥ 80 who underwent colonoscopy at Thong Nhat Hospital. Results: The mean age was 84,7 ± 3,16. No cases of perforation or bleeding related to colonoscopy were reported. 32,7% procedures were performed with sedation. The main reasons for incomplete colonoscopies were poor bowel preparation (52,6%) and intolerable pain (39,5%). Polyps were the most commonly detected lesions (48,6%), with the majority having ≥ 3 polyps and measuring <10mm. Notably, colorectal cancer was found in 6,7% of cases. Most polyps and colorectal cancers were located in the left colon. Conclusion: Colonoscopy in very elderly patients is safe, but the risks and benefits should be carefully weighed before performing the procedure.

Keywords

colonoscopy very elderly patient

References

  1. Siegel R. L., K. D. Miller, S. A. Fedewa, et al. Colorectal cancer statistics, 2017. CA Cancer J Clin. 2017. 67(3): p. 177-193. DOI:10.3322/caac.21395.
  2. Syn W. K., U. Tandon, and M. M. Ahmed. Colonoscopy in the very elderly is safe and worthwhile. Age Ageing. 2005. 34(5): p. 510-3. DOI:10.1093/ageing/afi158.
  3. El Halabi J., C. A. Burke, E. Hariri, et al. Frequency of Use and Outcomes of Colonoscopy in Individuals Older Than 75 Years. JAMA Intern Med. 2023. 183(6): p. 513-519. DOI:10.1001/jamainternmed.2023.0435.
  4. Day L. W., A. Kwon, J. M. Inadomi, et al. Adverse events in older patients undergoing colonoscopy: a systematic review and meta-analysis. Gastrointest Endosc. 2011. 74(4): p. 885-96. DOI:10.1016/j.gie.2011.06.023.
  5. Akhtar A. J. and M. S. Padda. Safety and efficacy of colonoscopy in the elderly: experience in an innercity community hospital serving African American and Hispanic patients. Ethn Dis. 2011. 21(4): p. 412-4.
  6. Tsutsumi S., H. Fukushima, K. Osaki, et al. Feasibility of colonoscopy in patients 80 years of age and older. Hepatogastroenterology. 2007. 54(79): p. 1959-61.
  7. Zhou L., H. Zhang, S. Sun, et al. Clinical, endoscopic and pathological characteristics of colorectal polyps in elderly patients: Single-center experience. Mol Clin Oncol. 2017. 7(1): p. 81-87. DOI:10.3892/mco.2017.1284.
  8. Lee J. K., C. D. Jensen, T. R. Levin, et al. Long-term Risk of Colorectal Cancer and Related Death After Adenoma Removal in a Large, Community-based Population. Gastroenterology. 2020. 158(4): p. 884-894.e5. DOI:10.1053/j.gastro.2019.09.039.
  9. Lee E. J., J. B. Lee, S. H. Lee, et al. Endoscopic submucosal dissection for colorectal tumors--1,000 colorectal ESD cases: one specialized institute's experiences. Surg Endosc. 2013. 27(1): p. 31-9. DOI:10.1007/s00464-012-2403-4.
  10. Buchner A. M., C. Guarner-Argente, and G. G. Ginsberg. Outcomes of EMR of defiant colorectal lesions directed to an endoscopy referral center. Gastrointest Endosc. 2012. 76(2): p. 255-63. DOI:10.1016/j.gie.2012.02.060.

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