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Colorectal Cancer Risk and Screening in Geriatric Patients

  • Elissa LinEmail author
  • Seymour Katz
Chapter

Abstract

The complexity of managing the elderly inflammatory bowel disease (IBD) patient encumbered by multiple comorbidities, polypharmacy, and physical and cognitive barriers is further compromised by the ever-present threat of malignancy. This review will attempt to provide the background of pathophysiologic components that are at work in the elderly with IBD. This chapter provides an overview of the epidemiology of colorectal cancer (CRC) in the elderly and discusses risk factors for CRC that pertain to the geriatric population with IBD. This chapter covers techniques utilized for colorectal cancer screening and identifies screening options that may help overcome the challenges of performing procedures in the elderly. Barriers to pursuing colonoscopy in the elderly are discussed. The experience to date of management is reviewed. This chapter also emphasizes consideration of frailty in the elderly population when deciding whether or not to pursue colonoscopy. Clinical guides, which are necessary for therapeutic decisions in this highly complex population, are updated.

Keywords

Geriatric Elderly Colorectal cancer screening Colonoscopy Inflammatory bowel disease Frailty 

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.New York University Langone HealthNew YorkUSA

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