Rendimiento y seguridad de las colonoscopías de screening en dos grupos etarios de pacientes de la tercera edad

Aim: To compare diagnostic yield of significant findings rate and safety of screening colonoscopies in two groups of elderly patients. Materials and Method: A retrospective analysis was performed on patients who underwent screening colonoscopies at INDISA Clinic, from November 2017 to March 2019. Exclusion criteria were those with “alarm” symptoms according to Rome IV criteria, emergencies and therapeutic colonoscopies were excluded. Comparison groups were patients between 70-79 years old (Grupo I), and those over 80 years old (Grupo II). The primary outcome was the diagnostic yield of screening colonoscopy, defined as its capacity to identify adenomas, high-grade dysplasia, and colo-rectal cancer. Secondary outcomes were morbidity and mortality of the procedure. Statistical analysis was descriptive and inferential. Results: A total of 125 patients met our inclusion criteria; Grupo I: 70 and Grupo II 55 patients. Significant findings were observed in 27.1% in Grupo I and 30.9% in Grupo II (p = 0.675). No differences in bowel prep quality or procedure-related complications were observed between both groups. Discussion and Conclusion: Screening colonoscopies for colorectal cancer are well tolerated in patients over 80 years of age, with equivalent diagnostic rates compared with the younger patient group. Given the increasing life expectancy worldwide, it is recommended to continue checking for colorectal cancer with screening colonoscopies in octogenarians, particularly healthy ones. © 2022, Sociedad de Cirujanos de Chile. All rights reserved.

Notas

Indexación: Scopus.

Palabras clave

Colorectal cancer, Elderly, Octogenarians, Screening colonoscopy

Citación

Revista de Cirugia, Volume 74, Issue 2, Pages 133 - 138, 2022

DOI

10.35687/s2452-454920220021336

URI

https://repositorio.unab.cl/handle/ria/61948

Colecciones

FM - Artículos de Revista

Página completa del ítem