Riccardo Urgesi1, Rossella Cianci2, Danilo Pagliari2, Estelle E Newton3, Gianluca Rizzo4, Guido Costamagna5, Maria Elena Riccioni6. 1. Department of Internal Medicine and Gastroenterology, 'Columbus Hospital', Catholic University of the Sacred Heart, Rome Italy. 2. Department of Internal Medicine, 'A. Gemelli Hospital', Catholic University of the Sacred Heart, Rome Italy. 3. CytoCure LLC, Beverly, MA, USA. 4. Department of Surgery, 'Columbus Hospital', Catholic University of the Sacred Heart, Rome, Italy. 5. Department of Surgery, Surgical Endoscopy Unit, 'A. Gemelli Hospital', Catholic University of the Sacred Heart, Rome, Italy. 6. Department of Surgery, Surgical Endoscopy Unit, 'A. Gemelli Hospital', Catholic University of the Sacred Heart, Rome, Italy. Electronic address: melena.riccioni@rm.unicatt.it.
Abstract
BACKGROUND: Few data are available on the use of capsule endoscopy in the elderly. METHODS: We performed a retrospective study on 1008 consecutive patients referred to our centre between December 1, 2002 and January 30, 2014 who underwent capsule endoscopy for various indications. Patients were enrolled and divided into 3 sub-groups according to their age (Group A: <50 years; Group B: 50-69 years; Group C: >70 years). The Pillcam diagnostic yield, clinically significant findings and post-treatment outcomes were compared between groups. RESULTS: Diagnostic yield was significantly higher in Group C vs. Groups A and B (65.2% vs. 42.3% and 47.5%, respectively; p<0.05). The most common diagnosis in the elderly was angiodysplasia (42.5%). In 84.5% of elderly patients (Group C) capsule endoscopy results modified patient management. CONCLUSIONS: Capsule endoscopy has a high diagnostic yield and positive impact on management in patients aged >70 years.
BACKGROUND: Few data are available on the use of capsule endoscopy in the elderly. METHODS: We performed a retrospective study on 1008 consecutive patients referred to our centre between December 1, 2002 and January 30, 2014 who underwent capsule endoscopy for various indications. Patients were enrolled and divided into 3 sub-groups according to their age (Group A: <50 years; Group B: 50-69 years; Group C: >70 years). The Pillcam diagnostic yield, clinically significant findings and post-treatment outcomes were compared between groups. RESULTS: Diagnostic yield was significantly higher in Group C vs. Groups A and B (65.2% vs. 42.3% and 47.5%, respectively; p<0.05). The most common diagnosis in the elderly was angiodysplasia (42.5%). In 84.5% of elderly patients (Group C) capsule endoscopy results modified patient management. CONCLUSIONS: Capsule endoscopy has a high diagnostic yield and positive impact on management in patients aged >70 years.
Authors: Simon Nennstiel; Annkathrin Machanek; Stefan von Delius; Bruno Neu; Bernhard Haller; Mohamed Abdelhafez; Roland M Schmid; Christoph Schlag Journal: United European Gastroenterol J Date: 2017-04-07 Impact factor: 4.623