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Z Gastroenterol 2012; 50(02): 204-208
DOI: 10.1055/s-0031-1281970
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Endoskopie bei geriatrischen Patienten: Positionspapier der Arbeitsgruppe Geriatrische Gastroenterologie

Endoscopy in Geriatric Patients Positionspaper of the Working Group Geriatric Gastroenterology
M. Staritz
Further Information

Publication History

27 April 2011

04 November 2011

Publication Date:
01 February 2012 (online)

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Zusammenfassung

Der Stellenwert endoskopisch diagnostischer und therapeutischer Eingriffe steigt beständig. Spezifische Eigenarten bei der Behandlung geriatrischer Patienten wurden bisher allenfalls Ansatzweise berücksichtigt. Die vorliegende Zusammenfassung zeigt den derzeitigen Stand beispielhaft auf und gibt Hinweise für Fragestellungen, die in Studien begleitet von der Arbeitsgruppe Geriatrische Gastroenterologie geklärt werden sollen.

Abstract

The relevance of endoscopic diagnostic and therapeutic interventions is on a constant rise. However, specific aspects of the treatment of geriatric patients have only been tackled to a rather limited extent so far. The present contribution pinpoints illustratively the status quo on this issue and provides directions for further research which should be conducted in future studies supported by the working group on geriatric gastroenterology.

Schlüsselwörter

Endoskopie - geriatrischer Patienten - Endoskopie für geriatrischer Patienten

Key words

endoscopy - geriatric patients - endoscopy in the elderly
 

  • Literatur

  • 1 ASGE guideline: modifications in endoscopic practice for the elderly. Gastrointestinal endoscopy 2006; 4: 566-569
    PubMedGoogle Scholar
  • 2 Deutsche Geriatriegesellschaft. www.dggeriatrie.de
    PubMed
  • 3 Convention of Malta 2008. www.uemsgeriatricmedicine.org
    PubMedGoogle Scholar
  • 4 Clarke GA, Jacobson BC, Hammett RJ et al. The indications, utilization and safety of gastrointestinal endoscopy in an extremely elderly patient cohort. Endoscopy 2001; 33: 580-584
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Van Koulwen MC, Drenth JP, Verhoeven HM et al. Upper gastrointestinal endoscopy in patients aged 85 years or more. Results of a feasibility study in a district general hospital. Arch Gerontol Geriatr 2003; 37: 45-50
    CrossrefPubMedGoogle Scholar
  • 6 Köklü S, Parlak E, Yüksel O et al. Endoscopic retrograde cholangiopancreatography in the elderly: a prospective and comparative study. Age and Ageing 2005; 34: 572-577
    CrossrefPubMedGoogle Scholar
  • 7 Chong VH, Yim HB, Lim CC. Endoscopic retrograde cholangiopancreatography in the elderly: outcomes, safety and complications. Singapore Med J 2005; 46: 621-626
    PubMedGoogle Scholar
  • 8 Sugiyama M, Atomi Y. Endoscopic sphincterotomy for bile duct stones in patients 90 years of age and older. Gastrointest Endosc 2000; 52: 187-191
    CrossrefPubMedGoogle Scholar
  • 9 Sidhu R, McAlindon ME. Age should not be a barrier to performing capsule endoscopy in the elderly with anaemia. Gut 2011; 60: A92-A93
    PubMedGoogle Scholar
  • 10 Nahon S, Fleury A, Cuillerier E et al. Diagnostic yield of capsule endoscopy in elderly patients with obscure GI bleeding. Gastroenterologie clinique et biologique 2010; 34: 104-105
    CrossrefPubMedGoogle Scholar
  • 11 Bandorski D, Diehl KL, Jaspersen D. Kapselendoskopie bei Herzschrittmacher-Patienten: Aktueller Stand in Deutschland. Z Gastroenterol 2005; 43: 715-718
    Article in Thieme ConnectPubMedGoogle Scholar
  • 12 Lagares-Garcia JA, Kurek S, Collier B et al. Colonoscopy in octogenarians and older patientens. Surg Endosc 2001; 15: 262-265
    CrossrefPubMedGoogle Scholar
  • 13 Lukens FJ, Loeb DS, Machicao VI et al. Colonoscopy in octogenarians: a prospective outpatient study. Am J Gastroenterol 2002; 97: 1722-1725
    CrossrefPubMedGoogle Scholar
  • 14 Arora A, Singh P. Colonoscopy in patients 80 years of age and older is safe, with high success rate und diagnostic yield. Gastrointest Endosc 2004; 60: 408-413
    CrossrefPubMedGoogle Scholar
  • 15 Sardinha TC, Nogueras JJ, Ehrenpreis ED et al. Colonoscopy in octogenarians: a review of 428 cases. Int J Colorectal Dis 1999; 14: 172-176
    CrossrefPubMedGoogle Scholar
  • 16 Yoong KK, Heymann T. Colonscopy in the very old: why bother?. Postgrad Med J 2005; 81: 196-197
    CrossrefPubMedGoogle Scholar
  • 17 Buri L, Zullo A, Hassan C et al. Upper GI endoscopy in elderly patients: predictive factors of relevant endoscopic findings. Intern Emerg Med 2011 May 3. [Epub ahead of print]
    PubMedGoogle Scholar
  • 18 Jafri SM, Monkemuller K, Lukens FJ. Endoscopy in the elderly: a review of the efficacy and safety of colonoscopy, esophagogastroduodenoscopy, and endoscopic retrograde cholangiopancreatography. Journal of clinical gastroenterology 2010; 44: 161-166
    CrossrefPubMedGoogle Scholar
  • 19 Winawer SJ, Fletcher RH, Miller L et al. Colorectal cancer screening: clinical guidelines and rationale. Gastroenterology 1997; 112: 594 -642
    CrossrefPubMedGoogle Scholar
  • 20 Winawer S, Fletcher R, Rex D et al. Colorectal cancer screening and surveillance: clinical guidelines and rationale-update based on new evidence. Gastroenterology 2003; 124: 544-560
    CrossrefPubMedGoogle Scholar
  • 21 Rex DK, Johnson DA, Liebermann DA et al. Colorectal cancer prevention 2000: screening recommendations of the American College of Gastroenterology. Am J Gastroenterol 2009; 95: 868-877
    PubMedGoogle Scholar
  • 22 Smith RA, von Eschenbach AC, Wender R et al. American Cancer Society guidelines for the early detection of cancer: update of early detection guidelines for prostate, colorectal and endometrial cancers. CA Cancer J Clin 2001; 51: 38-75
    CrossrefPubMedGoogle Scholar
  • 23 U.S. Preventive Services Task Force. Screening for colorectal cancer: recommendation and rationale. Ann Intern Med 2002; 137: 129-131
    PubMedGoogle Scholar
  • 24 Stevens T, Burke CA. Colonoscopy screening in the elderly: when to stop?. Am J Gastroenterol 2003; 98: 1881-1885
    CrossrefPubMedGoogle Scholar
  • 25 Seinela L, Pehkonen E, Laasanen T et al. Bowel preparation for colonoscopy in very old patients: a randomized prospective trial comparing oral sodium phosphate and polyethylene glycol electrolyte lavage solution. Scand J Gastroenterol 2003; 38: 216-220
    CrossrefPubMedGoogle Scholar
  • 26 Fujimoto S, Nomura M, Niki M et al. Evaluation of stress reactions during upper gastrointestinal endoscopy in elderly patients: assessment of mental stress using chromogranin A. J Med Invest 2007; 54: 140-145
    CrossrefPubMedGoogle Scholar
  • 27 Ladas SD. Ethical issues in the management of elderly patients in gastroenterology and digestive endoscopy. Expert Rev Gastroenterol Hepatol 2007; 1: 257-263
    CrossrefPubMedGoogle Scholar
  • 28 Niehaus M, Tebbenjohanns J. Electromagnetic interference in patients with implanted pacemakers or cardioverter-defibrillators. Heart 2001; 86: 246-248
    PubMedGoogle Scholar
  • 29 Veitch A, Fairclough P. Endoscopic diathermy in patients with cardiac pacemakers. Endoscopy 1998; 30: 544-547
    Article in Thieme ConnectPubMedGoogle Scholar
  • 30 Leighton JA, Sharma VK, Srivathsan K et al. Safety of capsule endoscopy in patients with pacemakers. Gastrointest Endosc 2004; 59: 567-569
    CrossrefPubMedGoogle Scholar
  • 31 Leighton JA, Srivathsan K, Carey EJ et al. Safety of wireless capsule endoscopy in patients with implantable cardiac defibrillators. Am J Gastroenerol 2005; 100: 1728-1731
    PubMedGoogle Scholar
  • 32 Waring JP, Baron TH, Hirota WK et al. Guidelines for conscious sedation and monitoring during gastrointestinal endoscopy. Gastrointest Endosc 2003; 58: 317-322
    CrossrefPubMedGoogle Scholar
  • 33 Karan SB, Bailey PL. Update and review of moderate and deep sedation. Gastrointest Endosc Clin N Am 2004; 14: 289-312
    CrossrefPubMedGoogle Scholar
  • 34 Shaker R, Ren J, Bardan E et al. Pharyngoglottal closure reflex: characterization in healthy young, elderly and dysphagic patients with predeglutitive aspiration. Gerontology 2003; 49: 12-20
    CrossrefPubMedGoogle Scholar
  • 35 Cohen LB, Hightower CD, Wood DA et al. Moderate level sedation during endoscopy: a prospective study using low-dose propofol, meperidine/fentanyl and midazolam. Gastrointest Endosc 2004; 59: 795-803
    CrossrefPubMedGoogle Scholar
  • 36 Kazama T, Takeuchi K, Ikeda K et al. Optimal propofol plasma concentration during upper gastrointestinal endoscopy in young, middle-aged and elderly patients. Anesthesiology 2000; 93: 662-669
    CrossrefPubMedGoogle Scholar
  • 37 Kerker A, Hardt C, Schlief HE et al. Combined sedation with midazolam/propofol for gastrointestinal endoscopy in elderly patients. BMC gastroenterology 2010; 10: 11
    CrossrefPubMedGoogle Scholar
  • 38 Mönkemüller K, Fry LC, Malfertheiner P et al. Gastrointestinal endoscopy in the elderly: current issues. Best practice & research. Clinical gastroenterology 2009; 23: 821-827
    PubMedGoogle Scholar
  • 39 Riphaus A, Wehrmann T, Weber B et al. S3-Leitlinie „Sedierung in der gastrointestinalen Endoskopie“ 2008 (AWMF-Register-Nr. 021/014). Z Gastroenterol 2008; 46: 1298-1330
    PubMedGoogle Scholar
  • 40 Carey EJ, Sorbi D. Unsedated endoscopy. Gastrointest Endosc Clin N Am 2004; 14: 369-383
    CrossrefPubMedGoogle Scholar
  • 41 Garcia RT, Cello JP, Nguyen MH et al. Unsedated ultrathin EGD is well accepted when compared with conventional sedated EDG: a multicenter randomized trial. Gastroenterology 2003; 125: 1606-1612
    CrossrefPubMedGoogle Scholar
  • 42 Dumortier J, Napoleon B, Hedelius F et al. Unsedated transnasal EGD in daily practice: results with 1100 consecutive patients. Gastrointest Endosc 2003; 57: 198-204
    CrossrefPubMedGoogle Scholar
  • 43 Thota PN, Zuccaro Jr G, Vargo JJ et al. A randomized prospective trial composing unsedated esophagoscopy via transnasal and transoral routes using a 4-mm video endoscope with conventional endoscndopy with sedation. Endoscopy 2005; 37: 559-565
    Article in Thieme ConnectPubMedGoogle Scholar
  • 44 Vitale MA, Villoti G, D’Alba L et al. Unsedated transnasal percutaneous endoscopic gastrostomy placement in selected patients. Endoscopy 2005; 37: 48-51
    Article in Thieme ConnectPubMedGoogle Scholar
  • 45 Dumortier J, Lapalus MG, Pereira A et al. Unsedated transnasal PEG placement. Gastrointest Endosc 2004; 59: 54-57
    CrossrefPubMedGoogle Scholar
  • 46 Liebermann DA, Wuerker CK, Katon RM. Cardiopulmonary risk of esophagogastroduodenoscopy. Role of endoscope diameter and systemic sedation. Gastroenterology 1985; 88: 468-472
    PubMedGoogle Scholar
  • 47 Cooper MW, Davison CM, Uastin CA. Arterial oxygen saturation during upper gastrointestinal endoscopy in elderly patients: the role of endoscope diameter. Age and Ageing 1995; 24: 254-256
    CrossrefPubMedGoogle Scholar