ReviewDigestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society2026
Upper Gastrointestinal Endoscopy in Elderly Patients: An Individualized Decision-Making Approach for Screening and Surveillance.
Review in Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
14 authors.
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Abstract
Population aging has led to a growing number of elderly individuals undergoing upper gastrointestinal (UGI) endoscopy for screening and surveillance. Although UGI endoscopic screening has been shown to reduce gastric and esophageal cancer mortality in high-risk regions, evidence specific to very elderly populations (≥ 80 years) remains limited. This review summarizes current epidemiologic data, risk stratification approaches, procedural considerations, examination quality, surveillance strategies, and future directions for UGI endoscopy in elderly patients, with particular emphasis on individuals aged ≥ 80 years. We highlight the importance of individualized decision-making that incorporates oncologic risk, frailty, comorbidity burden, life expectancy, procedural burden, and patient preferences. Quality-enhancing and burden-reducing strategies, including image-enhanced endoscopy and transnasal endoscopy, may help optimize the benefit-harm balance when endoscopy is considered appropriate. As global populations continue to age, generating high-quality evidence tailored to very elderly individuals will be essential to optimize the benefits and minimize the risks of UGI endoscopy.
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