Colonoscopy in Patients With Dementia

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Elderly patients with dementia undergoing colonoscopies have higher rates of non-procedural complications, such as renal injury, pulmonary events, cerebrovascular accidents, and sepsis compared to those without dementia. They are less likely to have routine discharges, more likely to have longer hospital stays, and incur higher hospital costs. This study highlights the importance of cautious decision-making among physicians, patients, and family members when it comes to performing colonoscopies on patients with dementia. Research is needed to develop specific guidelines for colorectal cancer screening in dementia patients, taking into consideration the potential risks and benefits of invasive procedures. Caregivers play a crucial role in decision-making for these patients.

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