caa a22 4500 445795379 CHVBK 20180317145123.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s10620-011-1718-7 doi (NATIONALLICENCE)springer-10.1007/s10620-011-1718-7 Endoscopic Ultrasound in Patients Over 80 Years Old [Elektronische Daten] [Tan Attila, Douglas Faigel] Background: The data on the safety and utility of EUS in patients over 80years of age is limited. Objective: We investigated the indications, feasibility, safety, and clinical utility of EUS in the management of GI, pancreatobiliary, and mediastinal diseases. Design: Retrospective study. Setting: A tertiary referral university hospital. Patients: Consecutive patients ≥80years of age referred over a 9-year period for EUS evaluation. Results: A total of 265 EUS scans were performed in 232 patients with a mean age of 83.8years. The indications for pancreatobiliary EUS were to evaluate a pancreatic mass (n=60), pancreatic cyst (n=18), pancreatitis (n=10), dilated CBD in the setting of jaundice and/or biliary stricture (n=20), dilated CBD with no jaundice and/or biliary stricture (n=20). The indications for luminal gastrointestinal EUS were esophageal lesions (n=21), gastric lesions (n=30), duodenal lesions (n=14), rectal lesions (n=22), and gastrointestinal subepithelial lesions (n=28). The indications for mediastinal EUS were mass/lymphadenopathy (n=14). EUS-guided FNA (EUS-FNA) was performed in 95 (35.8%) cases and results were consistent or suspicious for a malignancy in 62 cases (65.2%). Endoscopic mucosal resection (EMR) was performed in 17 cases (6.41%) on the same session following endosonographic evaluation. The procedure was successful in all patients with no complications related to sedation, EUS, or EUS-FNA encountered. One patient had perforation following EMR. Limitation: Retrospective study. Conclusions: EUS and EUS-FNA are feasible and safe and have a significant impact on the management of GI, pancreatobiliary and mediastinal diseases in extreme elderly. Springer Science+Business Media, LLC, 2011 Endoscopic ultrasound nationallicence Fine needle aspiration nationallicence Elderly nationallicence Attila Tan Division of Gastroenterology and Hepatology, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd (L462), 97239-3098, Portland, OR, USA aut Faigel Douglas Division of Gastroenterology and Hepatology, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd (L462), 97239-3098, Portland, OR, USA aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/10(2011-10-01), 3065-3071 0163-2116 56:10<3065 2011 56 10620 https://doi.org/10.1007/s10620-011-1718-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-011-1718-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Attila Tan Division of Gastroenterology and Hepatology, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd (L462), 97239-3098, Portland, OR, USA aut NATIONALLICENCE 700 1- Faigel Douglas Division of Gastroenterology and Hepatology, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd (L462), 97239-3098, Portland, OR, USA aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/10(2011-10-01), 3065-3071 0163-2116 56:10<3065 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer