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 Scopus citations

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 1 2013

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Keywords

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

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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