Rubalcaba-Macías EJ, Manrique MA, Chávez-García MÁ, Martínez-Galindo MG, Martínez-Ramírez G, Cisneros AA

Language: Spanish
References: 12
Page: 15-18
PDF size: 166.93 Kb.

ABSTRACT

Introduction: According to the WHO, people over 60 to 65 years old are considered elderly. In Mexico, they represent 9.2% of the population and by 2050, they are expected to reach 28%. It is a vulnerable group and most are carriers of at least one comorbidity. Esophagogastroduodenoscopy (EGD) is a diagnostic study of multiple pathologies on this age group, an invasive procedure that is not without complications. Objective: To report the experience of EGD in this age group in the endoscopy service of Hospital Juárez de México. Material and methods: Retrospective analysis of demographic characteristics, indications, and results of patients over 65 years of age submitted to EGD from November 2014 to April 2015. Results: In the study period, 91 EGDs were performed, 64 in women (70.3%) and 27 in men (29.7%), with a mean age of 70 years; IQR, 67 to 76 (interquartile range). In 81% of the patients, the procedure was elective; the most frequent associated comorbidities were diabetes mellitus type 2, in 38 (42%); hepatic cirrhosis, in 26 (28%); systemic arterial hypertension, in 18 (20%). The indication of the study was upper gastrointestinal bleeding in 20 (22%), esophageal varicose veins scrutiny in 19 (21%), gastroesophageal reflux in 14 (15%), dyspepsia in 10 (11%), dysphagia in nine (10%) and anemia in six (7%). The most common endoscopic diagnoses were chronic gastritis, in 39 (14.2%); esophagogastric varicose veins, in 25 (27.4%); esophagitis, in 13 (14.2%); peptic ulcer, in 13 (14.2%); gastric adenocarcinoma, in six (6.5%); esophageal cancer, in two (2.1%). Helicobacter pylori was positive in 22 of 25 patients in an intentional search. There was no morbidity associated with this procedure. Conclusions: Esophagogastroduodenoscopy is a safe diagnostic and potentially therapeutic tool in the study of the geriatric patient with gastrointestinal problems and signs and symptoms of alarm. It is a safe and well-tolerated procedure for this age group.

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