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 Citations (Scopus)

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 - 2014

Fingerprint

Polyps
Colon
Adenoma
Health Services Needs and Demand
Endoscopic Mucosal Resection
Endoscopy
Observational Studies
Anesthesia
Retrospective Studies
Demography
Pathology
Safety
Population

Keywords

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

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

Cite this

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

Colonic endoscopic mucosal resection of large polyps : Is it safe in the very elderly? / Gómez, Victoria; Racho, Ronald G.; Woodward, Timothy A.; Wallace, Michael B.; Raimondo, Massimo; Bouras, Ernest P.; Lukens, Frank J.

In: Digestive and Liver Disease, Vol. 46, No. 8, 2014, p. 701-705.

Research output: Contribution to journalArticle

Gómez, V, Racho, RG, Woodward, TA, Wallace, MB, Raimondo, M, Bouras, EP & Lukens, FJ 2014, 'Colonic endoscopic mucosal resection of large polyps: Is it safe in the very elderly?', Digestive and Liver Disease, vol. 46, no. 8, pp. 701-705. https://doi.org/10.1016/j.dld.2014.03.012
Gómez, Victoria ; Racho, Ronald G. ; Woodward, Timothy A. ; Wallace, Michael B. ; Raimondo, Massimo ; Bouras, Ernest P. ; Lukens, Frank J. / Colonic endoscopic mucosal resection of large polyps : Is it safe in the very elderly?. In: Digestive and Liver Disease. 2014 ; Vol. 46, No. 8. pp. 701-705.
@article{0e56c2b7329649b8be46862e362aef9b,
title = "Colonic endoscopic mucosal resection of large polyps: Is it safe in the very elderly?",
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.",
keywords = "Colorectal lesions, Complication rates, Endoscopic mucosal resection, Octogenarian patient, Polypectomy",
author = "Victoria G{\'o}mez and Racho, {Ronald G.} and Woodward, {Timothy A.} and Wallace, {Michael B.} and Massimo Raimondo and Bouras, {Ernest P.} and Lukens, {Frank J.}",
year = "2014",
doi = "10.1016/j.dld.2014.03.012",
language = "English (US)",
volume = "46",
pages = "701--705",
journal = "Digestive and Liver Disease",
issn = "1590-8658",
publisher = "Elsevier",
number = "8",

}

TY - JOUR

T1 - Colonic endoscopic mucosal resection of large polyps

T2 - Is it safe in the very elderly?

AU - Gómez, Victoria

AU - Racho, Ronald G.

AU - Woodward, Timothy A.

AU - Wallace, Michael B.

AU - Raimondo, Massimo

AU - Bouras, Ernest P.

AU - Lukens, Frank J.

PY - 2014

Y1 - 2014

N2 - 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.

AB - 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.

KW - Colorectal lesions

KW - Complication rates

KW - Endoscopic mucosal resection

KW - Octogenarian patient

KW - Polypectomy

UR - http://www.scopus.com/inward/record.url?scp=84904754683&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84904754683&partnerID=8YFLogxK

U2 - 10.1016/j.dld.2014.03.012

DO - 10.1016/j.dld.2014.03.012

M3 - Article

C2 - 24731727

AN - SCOPUS:84904754683

VL - 46

SP - 701

EP - 705

JO - Digestive and Liver Disease

JF - Digestive and Liver Disease

SN - 1590-8658

IS - 8

ER -