Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
, 44 (3), 161-6

Endoscopy in the Elderly: A Review of the Efficacy and Safety of Colonoscopy, Esophagogastroduodenoscopy, and Endoscopic Retrograde Cholangiopancreatography

Affiliations
Review

Endoscopy in the Elderly: A Review of the Efficacy and Safety of Colonoscopy, Esophagogastroduodenoscopy, and Endoscopic Retrograde Cholangiopancreatography

Syed-Mohammed Jafri et al. J Clin Gastroenterol.

Abstract

Gastrointestinal endoscopy including colonoscopy, esophagogastroduodenoscopy, and endoscopic retrograde cholangiopancreatography (ERCP) are safe and efficacious in elderly patients. Screening colonoscopies have little efficacy in patients over 80 years. Colonoscopies performed for bleeding or iron-deficiency anemia have a higher yield in elderly patients. Colonic preparations were well tolerated and colonoscopic success rates are high in elderly patients. However, poor colonic preparation is more likely in these patients. Esophagogastroduodenoscopy is a high-yield procedure with no significant increase in adverse events in patients over 80 years with symptoms including dyspepsia and dysphagia. ERCP in the elderly carries a high degree of success with low complication rates. Elderly patients undergoing ERCP carry similar risks of bleeding and perforation and a lower risk of pancreatitis compared with younger patients. Advanced age should not be regarded as an absolute contraindication to any gastrointestinal endoscopy procedure.

Similar articles

See all similar articles

Cited by 14 PubMed Central articles

See all "Cited by" articles

MeSH terms

LinkOut - more resources

Feedback