Colonic endoscopic mucosal resection of large polyps: Is it safe in the very elderly?

Victoria Gómez, Ronald G. Racho, Timothy A. Woodward, Michael B. Wallace, Massimo Raimondo, Ernest P. Bouras, Frank J. Lukens

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Background: Outcomes on colon endoscopic mucosal resection in the very elderly patient population are unknown. Aims: Aims of this study were to evaluate the outcomes and safety of colon endoscopic mucosal resection in this target population. Methods: Observational, retrospective study of patients ≥80 years of age that underwent colon endoscopic mucosal resection ≥2. cm. Demographics, American Society of Anesthesiologists classification, procedural data, and surgical treatment data were collected. Results: One-hundred-and-thirty-one colon endoscopic mucosal resections were performed on 99 patients ≥80 years of age with a mean age of 84. The majority of American Society of Anesthesiologists class was II. Mean lesion size was 3.3. cm (range, 2-12.5. cm), more procedures were performed in the right colon and adenoma/tubulovillous adenoma was the most common pathology. En bloc resection was performed on 26.7% of polyps (N= 35). Eight procedure-related adverse events (8/131, 6.1%) occurred. No anaesthesia related adverse events or deaths occurred. Six patients required a colonic operation, and overall, 94% of the patient cohort evaded a colon operation. Conclusions: Colon endoscopic mucosal resection in very elderly patients can be performed at experienced endoscopy centres with a low rate of complications and offers these patients a non-surgical option of management of colorectal lesions.

Original languageEnglish (US)
Pages (from-to)701-705
Number of pages5
JournalDigestive and Liver Disease
Volume46
Issue number8
DOIs
StatePublished - Aug 2014

Keywords

  • Colorectal lesions
  • Complication rates
  • Endoscopic mucosal resection
  • Octogenarian patient
  • Polypectomy

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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    Gómez, V., Racho, R. G., Woodward, T. A., Wallace, M. B., Raimondo, M., Bouras, E. P., & Lukens, F. J. (2014). Colonic endoscopic mucosal resection of large polyps: Is it safe in the very elderly? Digestive and Liver Disease, 46(8), 701-705. https://doi.org/10.1016/j.dld.2014.03.012