Safety of capsule endoscopy in the octogenarian as compared with younger patients

Victoria Gómez, Antonio R. Cheesman, Michael G. Heckman, Bhupendra Rawal, Mark E. Stark, Frank J. Lukens

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: There has been an increased use of capsule endoscopy for the evaluation of small-intestine pathology in very elderly patients, yet the safety profile of this procedure has not been well-established. Objective: To estimate the adverse event rate of capsule endoscopy in patients aged ≥80 years and to compare this rate with that of capsule endoscopy patients aged <80 years. Design: Retrospective matched cohort study. Setting: Single tertiary-care referral center. Patients: All 195 patients aged ≥80 years who underwent capsule endoscopy between 2005 and 2011 were included, along with 585 capsule endoscopy patients aged <80 years who were matched by sex in a 1:3 fashion. Intervention: All patients underwent capsule endoscopy and, in selected cases, double-balloon enteroscopy. Main Outcome Measurements: Adverse event rate of capsule endoscopy, which was defined as capsule retention or aspiration. Results: Adverse events occurred at a similar frequency in patients aged ≥80 years compared with those aged <80 years (1.03% vs 0.85%; P = 1.00), resulting in a difference of 0.2% (95% confidence interval, -1.8% to 2.1%). All adverse events were related to capsule retention, with no study patients experiencing aspiration. Limitations: This was a single-center, retrospective study. Conclusion: Adverse events resulting from capsule endoscopy occur at a similar rate in patients aged ≥80 years compared with those aged <80 years. Capsule endoscopy can be performed safely in the very elderly patient population.

Original languageEnglish (US)
Pages (from-to)744-749
Number of pages6
JournalGastrointestinal Endoscopy
Volume78
Issue number5
DOIs
StatePublished - Nov 2013

Fingerprint

Capsule Endoscopy
Safety
Tertiary Care Centers
Capsules
Double-Balloon Enteroscopy
Patient Safety
Small Intestine
Cohort Studies
Retrospective Studies
Confidence Intervals
Pathology

Keywords

  • capsule endoscopy
  • CE
  • DBE
  • double-balloon enteroscopy
  • nonsteroidal anti-inflammatory drug
  • NSAID
  • obscure GI bleeding
  • OGIB

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

Cite this

Gómez, V., Cheesman, A. R., Heckman, M. G., Rawal, B., Stark, M. E., & Lukens, F. J. (2013). Safety of capsule endoscopy in the octogenarian as compared with younger patients. Gastrointestinal Endoscopy, 78(5), 744-749. https://doi.org/10.1016/j.gie.2013.05.004

Safety of capsule endoscopy in the octogenarian as compared with younger patients. / Gómez, Victoria; Cheesman, Antonio R.; Heckman, Michael G.; Rawal, Bhupendra; Stark, Mark E.; Lukens, Frank J.

In: Gastrointestinal Endoscopy, Vol. 78, No. 5, 11.2013, p. 744-749.

Research output: Contribution to journalArticle

Gómez, V, Cheesman, AR, Heckman, MG, Rawal, B, Stark, ME & Lukens, FJ 2013, 'Safety of capsule endoscopy in the octogenarian as compared with younger patients', Gastrointestinal Endoscopy, vol. 78, no. 5, pp. 744-749. https://doi.org/10.1016/j.gie.2013.05.004
Gómez, Victoria ; Cheesman, Antonio R. ; Heckman, Michael G. ; Rawal, Bhupendra ; Stark, Mark E. ; Lukens, Frank J. / Safety of capsule endoscopy in the octogenarian as compared with younger patients. In: Gastrointestinal Endoscopy. 2013 ; Vol. 78, No. 5. pp. 744-749.
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