Tolerance of colonoscopy and questioning its utility in the elderly population

Hdl Handle:
http://hdl.handle.net/10147/332134
Title:
Tolerance of colonoscopy and questioning its utility in the elderly population
Authors:
Rathore, F; Sultan, N; Byrne, D
Citation:
Rathore, F;Sultan, N;Byrne, D Tolerance of colonoscopy and questioning its utility in the elderly population Irish Medical Journal Vol. 107. No.8 Sept 2014.
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Sep-2014
URI:
http://hdl.handle.net/10147/332134
Additional Links:
http://www.imj.ie/
Abstract:
This study was carried out from Jan ’12-Dec ’12 to assess current practice in Kerry General Hospital against the age related indicators for colonoscopies. A total of 1474 colonoscopies were performed,1177 (79.9%) were diagnostic and 297 (20.1%) were therapeutic, patients were divided into 4 age groups under 75, 75-80, 81-85, 86+. The trend analysis revealed an increase in diagnostic colonoscopies and decrease in therapeutic colonoscopies with age. 664 (45.04%) of colonoscopies were reported normal which made up the majority of the total diagnoses, 1330 (90.2%) of colonoscopies occurred without any complications. Main complications were patient discomfort being the highest, present in 112 (7.6%) of patients, and lowest being urticaria around the IV site present in 1 (0.1%) of the cases. Patient discomfort was higher in younger patients as evidenced by 98 cases aged <75, followed by 11 cases aged 75-80, 2 cases aged 81-85 and 1 case aged >86. Highest percentage of poor tolerance was found in 14 (1.1%) of total patients <75, 1 (0.8%) of total patients aged 75-80, 1(1.7%) of total patients in age group 81-85 and none (0%) in age group >86. We have established the safety of colonoscopy, low rate of complications and a better tolerance in the elderly from this study, however, its utility, especially in presence of other comorbidities in elderly is questionable.
Item Type:
Article
Language:
en
Local subject classification:
COLONOSCOPY

Full metadata record

DC FieldValue Language
dc.contributor.authorRathore, Fen_GB
dc.contributor.authorSultan, Nen_GB
dc.contributor.authorByrne, Den_GB
dc.date.accessioned2014-10-06T11:23:23Z-
dc.date.available2014-10-06T11:23:23Z-
dc.date.issued2014-09-
dc.identifier.citationRathore, F;Sultan, N;Byrne, D Tolerance of colonoscopy and questioning its utility in the elderly population Irish Medical Journal Vol. 107. No.8 Sept 2014.en_GB
dc.identifier.urihttp://hdl.handle.net/10147/332134-
dc.description.abstractThis study was carried out from Jan ’12-Dec ’12 to assess current practice in Kerry General Hospital against the age related indicators for colonoscopies. A total of 1474 colonoscopies were performed,1177 (79.9%) were diagnostic and 297 (20.1%) were therapeutic, patients were divided into 4 age groups under 75, 75-80, 81-85, 86+. The trend analysis revealed an increase in diagnostic colonoscopies and decrease in therapeutic colonoscopies with age. 664 (45.04%) of colonoscopies were reported normal which made up the majority of the total diagnoses, 1330 (90.2%) of colonoscopies occurred without any complications. Main complications were patient discomfort being the highest, present in 112 (7.6%) of patients, and lowest being urticaria around the IV site present in 1 (0.1%) of the cases. Patient discomfort was higher in younger patients as evidenced by 98 cases aged <75, followed by 11 cases aged 75-80, 2 cases aged 81-85 and 1 case aged >86. Highest percentage of poor tolerance was found in 14 (1.1%) of total patients <75, 1 (0.8%) of total patients aged 75-80, 1(1.7%) of total patients in age group 81-85 and none (0%) in age group >86. We have established the safety of colonoscopy, low rate of complications and a better tolerance in the elderly from this study, however, its utility, especially in presence of other comorbidities in elderly is questionable.en_GB
dc.language.isoenen
dc.publisherIrish Medical Journalen_GB
dc.relation.urlhttp://www.imj.ie/en_GB
dc.subject.otherCOLONOSCOPYen_GB
dc.titleTolerance of colonoscopy and questioning its utility in the elderly populationen_GB
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen_GB
dc.description.fundingNo fundingen
dc.description.provinceMunsteren
dc.description.peer-reviewpeer-reviewen
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