Colorectal Cancer Screening and Surveillance in the Elderly Patient

被引:40
作者
Day, Lukejohn W. [1 ,2 ]
Walter, Louise C. [3 ]
Velayos, Fernando [4 ]
机构
[1] San Francisco Gen Hosp, Div Gastroenterol, San Francisco, CA 94110 USA
[2] Univ Calif San Francisco, Dept Med, GI Hlth Outcomes Policy & Econ HOPE Res Program, San Francisco, CA USA
[3] San Francisco VA Med Ctr, Div Geriatr, San Francisco, CA USA
[4] Univ Calif San Francisco, Dept Med, Div Gastroenterol, San Francisco, CA USA
关键词
ORAL SODIUM-PHOSPHATE; ELECTROLYTE LAVAGE SOLUTION; SERVICES TASK-FORCE; SINGLE-BLIND TRIAL; AGED; 80; YEARS; POLYETHYLENE-GLYCOL; BOWEL PREPARATION; COLONOSCOPIC PERFORATIONS; CURATIVE RESECTION; RADICAL SURGERY;
D O I
10.1038/ajg.2011.128
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Colorectal cancer (CRC) is the third leading cause of cancer-related deaths in the United States. Older age is associated with a rise in colorectal cancer and adenomas, necessitating the need for CRC screening in older patients. However, decisions about CRC screening and surveillance in older adults are often difficult and challenging. The decision requires an individualized assessment that incorporates factors unique to performing colonoscopy in older adults in order to weigh the risks and benefits for each patient according to their overall health and preferences. This review addresses the factors unique to colorectal cancer and performing colonoscopy in older adults that are relevant in weighing the risks and benefits of screening and surveillance in this population.
引用
收藏
页码:1197 / 1206
页数:10
相关论文
共 118 条
  • [1] Kidney biopsies taken before and after oral sodium phosphate bowel cleansing
    Aasebo, Willy
    Scott, Helge
    Ganss, Rudiger
    [J]. NEPHROLOGY DIALYSIS TRANSPLANTATION, 2007, 22 (03) : 920 - 922
  • [2] A randomized single-blind trial of split-dose PEG-electrolyte solution without dietary restriction compared with whole dose PEG-electrolyte solution with dietary restriction for colonoscopy preparation
    Aoun, E
    Abdul-Baki, H
    Azar, C
    Mourad, F
    Barada, K
    Berro, Z
    Tarchichi, M
    Sharara, AI
    [J]. GASTROINTESTINAL ENDOSCOPY, 2005, 62 (02) : 213 - 218
  • [3] Colonoscopic perforations
    Araghizadeh, FY
    Timmcke, AE
    Opelka, FG
    Hicks, TC
    Beck, DE
    [J]. DISEASES OF THE COLON & RECTUM, 2001, 44 (05) : 713 - 716
  • [4] Colonoscopy in patients 80 years of age and older is safe, with high success rate and diagnostic yield
    Arora, A
    Singh, P
    [J]. GASTROINTESTINAL ENDOSCOPY, 2004, 60 (03) : 408 - 413
  • [5] Risk of perforation from a colonoscopy in adults: a large population-based study
    Arora, Gaurav
    Mannalithara, Ajitha
    Singh, Gurkirpal
    Gerson, Lauren B.
    Triadafilopoulos, George
    [J]. GASTROINTESTINAL ENDOSCOPY, 2009, 69 (03) : 654 - 664
  • [6] Fatal dysnatraemia caused by elective colonoscopy
    Ayus, JC
    Levine, R
    Arieff, AI
    [J]. BRITISH MEDICAL JOURNAL, 2003, 326 (7385): : 382 - 384
  • [7] COLONOSCOPY IN PATIENTS AGED 80 YEARS OR OLDER AND ITS CONTRIBUTION TO THE EVALUATION OF RECTAL BLEEDING
    BAT, L
    PINES, A
    SHEMESH, E
    LEVO, Y
    ZEELI, D
    SCAPA, E
    ROSENBLUM, Y
    [J]. POSTGRADUATE MEDICAL JOURNAL, 1992, 68 (799) : 355 - 358
  • [8] Electrolyte disorders following oral sodium phosphate administration for bowel cleansing in elderly patients
    Beloosesky, Y
    Grinblat, J
    Weiss, A
    Grosman, B
    Gafter, U
    Chagnac, A
    [J]. ARCHIVES OF INTERNAL MEDICINE, 2003, 163 (07) : 803 - 808
  • [9] Systematic review: adverse event reports for oral sodium phosphate and polyethylene glycol
    Belsey, J.
    Epstein, O.
    Heresbach, D.
    [J]. ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2009, 29 (01) : 15 - 28
  • [10] BRADY CE, 1985, AM J GASTROENTEROL, V80, P180