Turkish Journal of Geriatrics 2013 , Vol 16, Issue 1
Altay KANDEMİR, Mahmut ARABUL, Mustafa ÇELİK, Emrah ALPER, Sezgin VATANSEVER, Belkıs ÜNSAL
İzmir Atatürk Eğitim ve Araştırma Hastanesi Gastroenteroloji İZMİR Introduction: Endoscopic procedures are used for the evaluation and treatment of the gastrointestinal tract and pancreaticobiliary system in all age groups. We reviewed the process efficiency, reliability and success rates of endoscopic treatment techniques of upper gastrointestinal endoscopy, colonoscopy and ERCP.

Materials and Method: Records of endoscopies, colonoscopies and ERCPs between 2006 and 2010 were evaluated retrospectively. In our study, 3688 upper gastrointestinal endoscopies, 1650 colonoscopies, 3142 ERCPs, were evaluated retrospectively.

Results: Patients were divided into 3 groups according to age: 45-65 (Group 1), 65-80 (Group 2), and over 80 (Group 3). In group 3, the incidence of duodenal and gastric ulcers were significantly higher than the other groups (p<0.001, and p<0.01, between groups1-3, and 2-3, respectively). Also, frequency of colorectal cancers was significantly higher than the other two groups (p<0.001, and p<0,05, between groups 1-3, and 2-3, respectively). Pancreaticobiliary malignity incidence increased with age, and in group 3 it was significantly higher than the other age groups (p<0.001, p<0.001, p<0.001 between groups 1-3, 1-2, and 2-3, respectively).

Conclusion: As a result, the upper and lower gastrointestinal endoscopy procedures were found to be reliable and effective in the aged, with a low complication rate and high diagnostic rate. Planning for gastrointestinal endoscopy should not be deferred in this age group, in the case of clinical necessity. Keywords : Aged; Endoscopy; Colonoscopy; Cholangiopancreatography, Endoscopic Retrograde