| Theme | Colonoscopy for the super-elderly | |
|---|---|---|
| Title | Correspondence to elderly patient's colonoscopy in our hospital | |
| Publish Date | 2015/01 | |
| Author | Hiro-o Yamano | Digestive disease center, Akita Red Cross Hospital |
| Author | Kenjiro Yoshikawa | Digestive disease center, Akita Red Cross Hospital |
| Author | Ryo Takagi | Digestive disease center, Akita Red Cross Hospital |
| Author | Hiro-o Matsushita | Digestive disease center, Akita Red Cross Hospital |
| Author | Eiji Harada | Digestive disease center, Akita Red Cross Hospital |
| Author | Yoshihito Tanaka | Digestive disease center, Akita Red Cross Hospital |
| Author | Michiko Nakaoka | Digestive disease center, Akita Red Cross Hospital |
| Author | Ryogo Himori | Digestive disease center, Akita Red Cross Hospital |
| Author | Yuko Yoshida | Digestive disease center, Akita Red Cross Hospital |
| Author | Takashi Kondo | Digestive disease center, Akita Red Cross Hospital |
| Author | Kentaro Sato | Digestive disease center, Akita Red Cross Hospital |
| Author | Yasushi Imai | Digestive disease center, Akita Red Cross Hospital |
| [ Summary ] | It is necessary to consider adaptation and method of colonoscopic examination for extremely elderly patients differently from ordinary patients. However, no specific guidelines exist to achieve this, and common sense as a clinician is desired. Therefore, we report the correspondence to elderly patients of colonoscopy in our hospital. We are generally considering about adaptaion of examinations from health state of the patients, risks associated with premedications and post-colonoscopic treatment. When the above factors are not favorable, examination may need to be postponed or resigned. Nurse's observations concerning possible development of an ileus or intestinal tract perforations in premedications and cooperation with doctors are important. We have not experienced any complications with premedications. Data concerning past colonoscopies has indicated that small diameter scopes and CO2 insufflations were chosen to reduce risk of complications and discomfort for extremely elderly patients. In conclusion, we can safely perform colonoscopy by appropriate correspondence to extremely elderly patients. |
|