Korean J Gastrointest Endosc > Volume 38(3); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;38(3): 128-132.
80세 이상의 노인에서 대장 내시경 검사의 유용성과 안전성
임연정ㆍ김영호ㆍ장동경ㆍ손희정ㆍ이풍렬ㆍ김재준ㆍ이종철
성균관대학교 의과대학 삼성서울병원 내과학교실
The Efficacy and Safety of Performing Colonoscopy in Patients 80 Years of Age and Older
Yeun Jung Lim, M.D., Young-Ho Kim, M.D., Dong Kyung Chang, M.D., Hee Jung Son, M.D., Poong-Lyul Rhee, M.D., Jae J. Kim, M.D. and Jong Chul Rhee, M.D.
Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Abstract

Background/Aims:
Optical colonoscopy is considered the gold standard for conducting a colorectal examination. Yet clinicians are often reluctant to refer elderly patients for colonoscopy because of their perception that it is a risky procedure. The aim of this study was to establish the efficacy and safety of performing colonoscopy in patients 80 years of age and older.
Methods:
The study data was retrospectively collected from January 2000 to April 2007. Comparisons were made between two groups: The patients were classified based on age: 50~69 years and ≥80 years of age. We collected data on sedation, the total colonoscopy rates, the indication, the colonoscopic findings and the complications.
Results:
Three hundred and forty-nine patients (170 elderly patients and 179 patients aged 50~69 years) were enrolled. Compared to the patients aged 50~69 years, the elderly patients had more clinically significant findings (55.9% for the elderly patient and 37.4% for the patients aged 50~80 years). Cecal intubation was done at a similar rate for both groups (94.7% and 96.6%, respectively). Although the elderly patients usually had one or more co-morbid illnesses (p<0.001), the complication rate was not different between the 2 groups.
Conclusions:
Colonoscopy in the elderly is safe and effective and it allows physicians to discover many significant findings. (Korean J Gastrointest Endosc 2009;38:128-132)
Key Words: Colonoscopy, Elderly, Efficacy, Safety
주요어: 대장내시경, 노인, 유용성, 안전성
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