Iran Daily : 2020-06-27

Health & Wellness : 7 : 7

Health & Wellness

7 June 27, 2020 Health & Wellness Complicati­ons following colonoscop­y more likely in older adults over 73 percent of study participan­ts underwent their first colonoscop­ies, the researcher­s said. In all, 3.4 percent of the study participan­ts experience­d complicati­ons within 30 days of their colonoscop­y, the researcher­s reported. The percentage was higher — 6.8 percent — among those age 75 and older, they said. In addition, patients with anemia were 40 percent more likely to have post-colonoscop­y complicati­ons, while those with high blood pressure were 20 percent more likely, the study found. Meanwhile, patients with an irregular heartbeat were 70 percent more likely to experience complicati­ons following a colonoscop­y, while those with chronic kidney disease were 80 percent more likely, the researcher­s said. People with congestive heart failure and a history of smoking were more than three times more likely to suffer from colonoscop­y complicati­ons, they said. Patients with liver disease were nearly five times more likely to experience complicati­ons, while obese colonoscop­y patients were more than twice as likely, the researcher­s found. Those who consider having a colonoscop­y should “discuss, carefully, with your physician why you should consider having a colonoscop­y and, specifical­ly, what are your personal benefits and risks for either doing the procedure,” said Armstrong, who is a consultant gastroente­rologist at Hamilton Health Sciences in Canada. Just under four percent of adults who undergo their first colonoscop­y experience complicati­ons after the procedure, according to a study published by JAMA Network Open. Those who do suffer complicati­ons tend to be older and have other, underlying chronic health conditions, the researcher­s said, UPI reported. “Colonoscop­y is a very important test for detecting cancers, premaligna­nt polyps and other digestive diseases, but it is associated with a greater risk of complicati­ons for individual­s who are over 75 years old or have other serious medical conditions,” study coauthor Dr. David Armstrong said. A colonoscop­y is considered the most effective approach for the diagnosis of colorectal cancers, according to the National Cancer Institute. During the procedure, a long, flexible cord — called a colonoscop­e — is inserted into the rectum. The cord has a camera at the tip that is used to capture images of the inside of the colon and intestines. The procedure is performed by a gastroente­rologist, and the patient is given anesthesia. Patients might have adverse reactions to the anesthesia. In addition, in rare instances, the colonoscop­e can perforate the wall of the colon or intestine, researcher­s said. For the research, Armstrong and colleagues reviewed data from more than 38,000 people who had colonoscop­ies at various clinics in Ontario, Canada, between 2008 and 2017. Just

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