XXXX . Diagnosis and treatment by colonoscopy.

@entity1 @entity8 @entity455 @entity417 @entity548 @entity75 @entity3459
@entity455 is an increasingly recognized cause of gastrointestinal tract @entity548 in the elderly. Colonoscopy is assuming an important role in diagnosis and treatment of these lesions. The records of 30 @entity1 who had a diagnosis of @entity455 made by colonoscopy have been retrospectively reviewed. The 30 @entity1 included 14 @entity1 and 16 @entity1 whose median age was 70 years (range, 54 to 89 years). All @entity1 had @entity455 of the cecum or ascending colon or both, five @entity1 (16.7%) had @entity75 , and 18 @entity1 (60%) had associated cardiac, vascular, pulmonary, or @entity8 . Of the 27 @entity1 who presented with gastrointestinal tract @entity548 , 13 (48.1%) underwent endoscopic fulguration, nine (33.3%) underwent resection, and seven (25.9%) were treated conservatively. Endoscopic fulguration was definitive treatment in 11 of the 27 @entity1 (40.7%). A positive histologic diagnosis of @entity455 was made in nine of 15 @entity1 (60%) in whom endoscopic biopsy was performed. In the hands of an experienced endoscopist, colonoscopy is a safe and effective way of diagnosing @entity455 and is potentially therapeutic. @entity3459 should be attempted before operation in @entity1 with @entity417 , limited @entity548 , or concomitant severe medical disease.
