Endoscopy in the elderly

American Journal of Gastroenterology

Volumn 107, Issue 10, 2012, Pages 1495-1501

  Travis, Anne C ^a   Pievsky, Daniel ^a   Saltzman, John R ^a  

^a BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT; BENZODIAZEPIN 2 ONE DERIVATIVE; FENTANYL; PROPOFOL;

ANEMIA; ANTIBIOTIC PROPHYLAXIS; ASPIRATION; CANCER DIAGNOSIS; CANCER SCREENING; CARDIOVASCULAR FUNCTION; CLINICAL ASSESSMENT; COLONOSCOPY; COMORBIDITY; COMPLICATION; DEFIBRILLATOR; DYSPHAGIA; ENDOSCOPIC ECHOGRAPHY; ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; ENDOSCOPY; ENDOSCOPY COMPLICATION; EPIGASTRIC PAIN; FAMILY HISTORY; GASTROESOPHAGEAL REFLUX; GASTROINTESTINAL DISEASE; GASTROINTESTINAL HEMORRHAGE; GERIATRICS; HEART ARRHYTHMIA; HYPOTENSION; HYPOXIA; PACEMAKER; PATIENT SAFETY; PRIORITY JOURNAL; REVIEW; RISK ASSESSMENT; RISK BENEFIT ANALYSIS; SEDATION; STOMACH CANCER; VOMITING; WEIGHT REDUCTION;

AGE FACTORS; AGED; AGED, 80 AND OVER; ANTIBIOTIC PROPHYLAXIS; CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE; COLONOSCOPY; CONSCIOUS SEDATION; DIAGNOSIS, DIFFERENTIAL; DIGESTIVE SYSTEM DISEASES; ENDOSCOPY, DIGESTIVE SYSTEM; ENDOSONOGRAPHY; ESOPHAGOSCOPY; GASTROSCOPY; HUMANS; INTESTINAL PERFORATION; SAFETY;

EID: 84867097834     PISSN: 00029270     EISSN: 15720241     Source Type: Journal    
DOI: 10.1038/ajg.2012.246     Document Type: Review

References (53)

1. World Health Organization. World Health Report 2010.
2. Howlader N, Noone AM, Krapcho M et al (eds). SEER Cancer Statistics Review, 1975-2008. National Cancer Institute: Bethesda, MD, http://seer. cancer.gov/csr/1975-2008/. Accessed 27 June 2011.
3. Hall KE, Proctor DD, Fisher L et al American Gastroenterological Association futuretrends committee reports: eff ects of aging of the population on gastroenterology practice, education and research. Gastroenterology 2005; 129: 1305-38.
4. Tierney S, Lillemoe KD, Pitt HA. The current management of common duct stones. Adv Surg 1995; 28: 271-99.
5. Jafri SM, Monkemuller K, Lukens FJ. Endoscopy in the elderly: a review of the effi cacy and safety of colonoscopy, esophagogastroduodenoscopy, and endoscopic retrograde cholangiopancreatography. J Clin Gastroenterol 2010; 44: 161-6.
6. Wilson W, Taubert KA, Gewitz M, et al., American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee; American Heart Association Council on Cardiovascular Disease in the Young; American Heart Association Council on Clinical Cardiology; American Heart Association Council on Cardiovascular Surgery and Anesthesia; Quality of Care and Outcomes Research Interdisciplinary Working Group. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation 2007; 116: 1736-54.
7. ASGE Standards of Practice Committee, Banerjee S, Shen B, Baron TH et al. Antibiotic prophylaxis for GI endoscopy. Gastrointest Endosc 2008; 67: 791-8.
8. Niehaus M, Tebbenjohanns J. Electromagnetic interference in patients with implanted pacemakers or cardioverter-defi brillators. Heart 2001; 86: 246-8.
9. Qureshi WA, Zuckerman MJ, Adler DG, et al., Standards of Practice Committee, American Society for Gastrointestinal Endoscopy. ASGE guideline: modifi cations in endoscopic practice for the elderly. Gastrointest Endosc 2006; 63: 566-9.
10. Clarke GA, Jacobson BC, Hammett RJ et al. The indications, utilization and safety of gastrointestinal endoscopy in an extremely elderly patient cohort. Endoscopy 2001; 33: 580-4.
11. Fritz E, Kirchgatterer A, Hubner D et al. ERCP is safe and eff ective in patients 80 years of age and older compared with younger patients. Gastrointest Endosc 2006; 64: 899-905.
12. Thomopoulos KC, Vagenas K, Assimakopoulos SF et al. Endoscopic retrogade cholangiopancreatography is safe and eff ective method for diagnosis and treatment of biliary and pancreatic disorders in octogenarians. Acta Gastroenterol Belg 2007; 70: 199-202.
13. Katsinelos P, Kountouras J, Chatzimavroudis G et al. Outpatient therapeutic endoscopic retrograde cholangiopancreatography is safe in patients aged 80 years and older. Endoscopy 2011; 43: 128-33.
14. Katsinelos P, Paroutoglou G, Kountouras J et al. Effi cacy and safety of therapeutic ERCP in patients 90 years of age and older. Gastrointest Endosc 2006; 63: 417-23.
15. Salminen P, Gr ö nroos JM. Anesthesiologist assistance in endoscopic retrograde cholangiopancreatography procedures in the elderly: is it worthwhile? J LaparoendoscAdv Surg Tech A 2011; 21: 517-9.
16. Karajeh MA, Sanders DS, Hurlstone DP. Colonoscopy in elderly people is a safe procedure with a high diagnostic yield: a prospective comparative study of 2,000 patients. Endoscopy 2006; 38: 226-30.
17. Riphaus A, Stergiou N, Wehrmann T. Sedation with propofol for routine ERCP in high-risk octogenarians: a randomized, controlled study. Am J Gastroenterol 2005; 100: 1957-63.
18. Riphaus A, Stergiou N, Wehrmann T. ERCP in octogenerians: a safe and effi cient investigation. Age Ageing 2008; 37: 595-9.
19. Martínez JF, Aparicio JR, Compa ñ y L et al. Safety of continuous propofol sedation for endoscopic procedures in elderly patients. Rev Esp Enferm Dig 2011; 103: 76-82.
20. Schilling D, Rosenbaum A, Schweizer S et al. Sedation with propofol for interventional endoscopy by trained nurses in high-risk octogenarians: a prospective, randomized, controlled study. Endoscopy 2009; 41: 295-8.
21. Garcia RT, Cello JP, Nguyen MH et al. Unsedated ultrathin EGD is well accepted when compared with conventional sedated EGD: a multicenter randomized trial. Gastroenterology 2003; 125: 1606-12.
22. Abraham NS, Fallone CA, Mayrand S et al. Sedation vs. no sedation in the performance of diagnostic upper gastrointestinal endoscopy: a Canadian randomized controlled cost-outcome study. Am J Gastroenterol 2004; 99: 1692-9.
23. Lockhard SP, Schofi eld PM, Gribble RJ, Baron JH. Upper gastrointestinal endoscopy in the elderly. Br Med J 1985; 290: 283.
24. Buri L, Zullo A, Hassan C, et al., the SIED Appropriateness Working Group. Upper GI endoscopy in elderly patients: predictive factors of relevant endoscopic fi ndings. Intern Emerg Med 2011 (epub ahead of print 3 May).
25. Volkert D, Berner YN, Berry E et al., DGEM (German Society for Nutritional Medicine). ESPEN guidelines on enteral nutrition: geriatrics. Clin Nutr 2006; 25: 330-60.
26. Kirby DF, DeLegge MH, Fleming CR. American Gastroenterolgical Association technical review on tube feeding for enteral nutrition. Gastroenterology 1995; 108: 1282-307.
27. Singhal S, Basi PS, Mathur S et al. Outcome analysis of colonoscopy in elderly African American, Hispanic and Asian Americans above age 85 (abstract). Gastroenterology 2010; 138 (5 Suppl): S-126.
28. Lukens FJ, Loeb DS, Machicao VI et al. Colonoscopy in octogenarians: a prospective outpatient study. Am J Gastroenterol 2002; 97: 1722-5.
29. Day LW, Walter LC, Velayos F. Colorectal cancer screening and surveillance in the elderly patient. Am J Gastroenterol 2011; 106: 1197-206.
30. Rex DK, Imperiale TF, Latinvich DR et al. Impact of bowel preparation on effi ciency and cost of colonoscopy. Am J Gastroenterol 2002; 97: 1696-700.
31. Chung YW, Han DS, Park KH et al. Patient factors predictive of inadequate bowel preparation using polyethylene glycol: a prospective study in Korea. J Clin Gastroenterol 2009; 43: 448-52.
32. Taylor C, Schubert ML. Decreased effi cacy of polyethylene glycol lavage solution (golytely) in the preparation of diabetic patients for outpatient colonoscopy: a prospective and blinded study. Am J Gastroenterol 2001; 96: 710-4.
33. Ozturk NA, Gokturk HS, Demir M et al. Effi cacy and safety of sodium phosphate for colon cleansing in type 2 diabetes mellitus. South Med J 2010; 103: 1097-102.
34. Centers for Disease Control and Prevention. National Diabetes Fact Sheet: National Estimates and General Information on Diabetes and Prediabetes in the United States, 2011. US Department of Health and Human Services, Centers for Disease Control and Prevention: Atlanta, GA, 2011.
35. US Preventative Services Task Force. Screening for colorectal cancer: US Preventive Services Task Force recommendation statement. Ann Intern Med 2008; 149: 627-37.
36. Kistler CE, Kirby KA, Lee D et al. Long-term outcomes following positive fecal occult blood test results in older adults: benefi ts and burdens. Arch Intern Med 2011; 171: 1344-51.
37. Wilson JA. Colon cancer screening in the elderly: when do we stop? Trans Am Clin ClimatolAssoc 2010; 121: 94-103.
38. Benson ME, Byrne S, Brust DJ et al. EUS and ERCP complication rates are not increased in elderly patients. Dig Dis Sci 2010; 55: 3278-83.
39. Attila T, Faigel DO. Endoscopic ultrasound in patients over 80 years old. Dig Dis Sci 2011; 56: 3065-71.
40. Gonz á lez-Panizo F, V á zquez-Sequeiros E, ForunyOlcina JR et al. Impact of endoscopic ultrasonography on the management of a prospective cohort of 700 consecutive patients referred for diagnostic endoscopic ultrasonography. Rev Esp Enferm Dig 2011; 103: 62-8.
41. Mohamadnejad M, DeWitt JM, Sherman S et al. Role of EUS for preoperative evaluation of cholangiocarcinoma: a large single-center experience. Gastrointest Endosc 2011; 73: 71-8.
42. Lee TC, Huang SP, Yang JY et al. Age is not a discriminating factor for outcomes of therapeutic upper gastrointestinal endoscopy. Hepatogastroenterology 2007; 54: 1319-22.
43. Lockhart SP, Schofi eld PM, Gribble RJ et al. Upper gastrointestinal endoscopy in the elderly. Br Med J (Clin Res Ed) 1985; 290: 283.
44. Attanasio A, Bedin M, Stocco S et al. Clinical outcomes and complications of enteral nutrition among older adults. Minerva Med 2009; 100: 159-66.
45. Callahan CM, Haag KM, Weinberger M et al. Outcomes of percutaneous endoscopic gastrostomy among older adults in a community setting. J Am Geriatr Soc 2000; 48: 1048-54.
46. Suzuki Y, Tamez S, Murakami A et al. Survival of geriatric patients aft er percutaneous endoscopic gastrostomy in Japan. World J Gastroenterol 2010; 16: 5084-91.
47. Arora G, Mannalithara A, Singh G et al. Risk of perforation from a colonoscopy in adults: a large population-based study. Gastrointest Endosc 2009; 69: 654-64.
48. Day LW, Inadomi JM, Samsouk S. Adverse events in elderly patients undergoing colonoscopy: a meta-analysis (abstract). Gastroenterology 2010; 138 (5 Supp): S-126.
49. Gr ö nroos JM, Salminen P, Laine S et al. Feasibility of ERCP procedures in patients 90 years of age and older. J Clin Gastroenterol 2010; 44: 227-8.
50. Ko CW, Riffl e S, Shapiro JA et al. Incidence of minor complications and time lost from normal activities aft er screening or surveillance colonoscopy. Gastrointest Endosc 2007; 65: 648-56.
51. Warren JL, Klabunde CN, Mariotto AB et al. Adverse events aft er outpatient colonoscopy in the medicare population. Ann Intern Med 2009; 150: 849-57, W152.
52. Ko CW, Riffl e S, Michaels L et al. Serious complications within 30 days of screening and surveillance colonoscopy are uncommon. Clin Gastroenterol Hepatol 2010; 8: 166-73.
53. Agostoni M, Fanti L, Arcidiacono PG et al. Midazolam and pethidine vs. propofol and fentanyl patient controlled sedation/analgesia for upper gastrointestinal tract ultrasound endoscopy: a prospective randomized controlled trial. Dig Liver Dis 2007; 39: 1024-9.