Octogenarians Versus Younger Patients: Colorectal Endoscopic
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In this study the researchers sought to review outcome data for patients aged 80 and over in a prospectively collected database of patients referred for large polyp removal. There are limited data on safety and outcomes of colorectal endoscopic mucosal resection (EMR) in octogenarians (more than 80 years old).

The researchers retrospectively evaluated a database of patients referred for large nonpedunculated polyp removal. For years 2000 to 2019, they compared the rates of follow-up, recurrence, adverse events, and synchronous neoplasia detection between younger patients and patients aged 80 and over.

Results:
There were 167 patients were more than 80 years old and 1686 were less than 80 years. Patients in the elderly group returned for surveillance less often, had greater first follow-up recurrence rates but had similar adverse event rates compared with younger patients. Rates of synchronous neoplasia were similar and high in both groups.

Conclusion:
They concluded that EMR is safe and well tolerated for large polyp removal in patients over 80 years old. Patients more than or equal to 80 years of age are less likely to present for follow-up after EMR. They had a higher recurrence rate and a similarly high prevalence of synchronous precancerous lesions. Follow-up after EMR should be encouraged in the elderly, and an attempt to clear the colon of synchronous disease at the time of the initial EMR may be warranted.

Source:
https://www.giejournal.org/article/S0016-5107(20)34878-1/fulltext?rss=yes
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