Results of a feasibility study in a district general hospital. Upper gastrointestinal endoscopy in patients aged 85 years or more. Acute upper gastrointestinal bleeding in octogenarians: clinical outcome and factors related to mortality. Modifications in endoscopic practice for the elderly. Second European Symposium on Ethics in Gastroenterology and Digestive Endoscopy, Kos, Greece, July 2006. Ethical issues in endoscopy: patient satisfaction, safety in elderly patients, palliation, and relations with industry. Most recent guidelines from the American Gastroenterological Association. Quality indicators for the management of Barrett’s esophagus, dysplasia, and esophageal adenocarcinoma: international consensus recommendations from the American Gastroenterological Association Symposium. Most recent guidelines from the British Society of Gastroenterology. British Society of Gastroenterology guidelines on the diagnosis and management of Barrett’s oesophagus. The role of endoscopy in Barrett’s esophagus and other premalignant conditions of the esophagus. ASGE guideline: the role of endoscopy in the surveillance of premalignant conditions of the upper GI tract. French Society of Digestive Endoscopy SFED guideline: monitoring of patients with Barrett’s esophagus. American Gastroenterological Association medical position statement on the management of Barrett’s esophagus. Canadian Consensus Conference on the management of gastroesophageal reflux disease in adults-update 2004. The incidence of esophageal cancer and high-grade dysplasia in Barrett’s esophagus: a systematic review and meta-analysis. A single centre’s 20 years’ experience of columnar-lined (Barrett’s) oesophagus diagnosis. Incidence of adenocarcinoma among patients with Barrett’s esophagus. Prevalence of Barrett’s esophagus by endoscopy and histologic studies: a prospective evaluation of 306 control subjects and 376 patients with symptoms of gastroesophageal reflux. Secular trends in the epidemiology and outcome of Barrett’s oesophagus in Olmsted County, Minnesota. Risk of esophageal adenocarcinoma and mortality in patients with Barrett’s esophagus: a systematic review and meta-analysis. Oesophageal cancer incidence and mortality in patients with long-segment Barrett’s oesophagus after a mean follow-up of 12.7 years. Comparison of population-based clinical and autopsy findings. Prevalence of columnar-lined (Barrett’s) esophagus. Adenocarcinoma of the esophagogastric junction and Barrett’s esophagus. Oesophageal cancer is an uncommon cause of death in patients with Barrett’s oesophagus. Updated guidelines 2008 for the diagnosis, surveillance and therapy of Barrett’s esophagus. Practice Parameters Committee of the American College of. Comparison of the clinical and histological characteristics and survival of distal esophageal-gastroesophageal junction adenocarcinoma in patients with and without barrett mucosa. Small adenocarcinomas of the esophagogastric junction: association with intestinal metaplasia and dysplasia. Barrett’s esophagus: pathogenesis, epidemiology, functional abnormalities, malignant degeneration, and surgical management.
The elderly, the very elderly and traditional practice patterns. Papers of particular interest, published recently, have been highlighted as: Īdolph RJ. Such consensus must take into account an aging population where patients are living healthier for longer and thus may be appropriate candidates for screening procedures even if beyond designated ages of screening cessation. For colorectal screening, most guidelines advocate complete cessation of screening after the age of 85 years. With minor differences between societal guidelines, it is widely agreed that 75 years is the appropriate age to begin to weigh risks and benefits according to a patient’s state of health and comorbidities. In this review, we compare national and international guidelines in average risk screening procedures (colonoscopic colorectal screening, Barrett’s surveillance) to find consensus for screening practice in the elderly. Weighing the benefits against the risks is easy when a patient is in immediate danger, but a gray area arises in screening protocols in an elderly patient of average risk. Performing endoscopic procedures in the elderly carries known enhanced risk compared to the general population.
0 kommentar(er)
