| Clinical Significance of Screening Colonoscopy in Elderly: A KASID Multi-center Study |
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Sung Geun Park, Dong Il Park, Young-Ho Kim, Hyun Soo Kim, Won Ho Kim, Tae Il Kim, Hyo Jong Kim, Suk-Kyun Yang, Jeong-Sik Byeon, Moon Sung Lee, Il Kwon Jung, Moon Kwan Chung, Sung-Ae Jung, Yoon Tae Jeen, Jai Hyun Choi, Hwang Choi, Dong Soo Han, Jae Suk Song |
*Department of Internal Medinice, Sungkyunkwan University School of Medicine, Yonsei University, Wonju College of Medicine
†Yonsei University College of Medicine
‡Kyunghee University College of Medicine
§Ulsan University College of Medicine
∥Soonchunhyang University College of Medicine
¶Youngnam University College of Medicine
**Ewha Woman's University College of Medicine
††Korea University College of Medicine
‡‡The Catholic University of Korea College of Medicine
§§Hanyang University College of Medicine
∥∥Kwandong University College of Meidicine, Korea
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| 노인에서 대장 내시경 선별 검사의 임상적 효용성: 대한장연구학회 다기관 공동연구 |
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박성근, 박동일, 김영호, 김현수, 김원호, 김태일, 김효종, 양석균, 변정식, 이문성, 정일권, 정문관, 정성애, 진윤태, 최재현, 최황, 한동수, 송재석 |
*성균관대학교 의과대학, 연세대학교 원주의과대학
†연세대학교 의과대학
‡경희대학교 의과대학
§울산대학교 의과대학
∥순천향대학교 의과대학
¶영남대학교 의과대학
**이화여자대학교 의과대학
††고려대학교 의과대학
‡‡가톨릭대학교 의과대학
§§한양대학교 의과대학
∥∥관동대학교 의과대학 내과학교실 |
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| Abstract |
Background/Aims
Currently, screening colonscopy is widely performed in the medical field. The initial time of screening is recommended at an age of 50 years, but the age to cease screening is unknown. Accordingly, we have investigated the diagnostic yield of colonoscopy according to indications in the elderly, and we evaluated if screening colonoscopy is useful in the elderly. Methods: We recruited asymptomatic individuals undergoing screening colonoscopy according to age (2830 subjects aged 50-74 years and 111 subjects ≥75 years-old), The colonoscopy findings of the study subjects were compared. In addition, colonoscopy findings of asymptomatic subjects more than 75 years-old were compared with the findings of symptomatic subjects with the same age. Results: The yield for overall neoplasia and advanced adenoma was higher in the group of subjects ≥75 years-old than in the 50-74 years age group (overall adenoma: 49.54% versus 24.98%, p＜0.001; advanced adenoma: 16.2% versus 8.23%, p=0.003). The overall frequency of neoplasms was higher in asymptomatic subjects ≥75 years-old than in symptomatic subjects ≥75 years-old (49.54% versus 28.19%, p＜0.001). Conclusions: The prevalence of advanced adenoma increased with age. Screening colonoscopy was still significantly effective in elderly subjects ≥75 years-old. The lack of a decline in the frequency of adenoma, including advanced adenoma, justifies continuing screening colonoscopy in the elderly. (Intest Res 2008;6:25-30) |
| Key Words:
Colonoscopy, Mass Screening, Aged, Adenoma |
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