| 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 |
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| Abstract |
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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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