If there is no contraindication to gastroscopy, gastroscopy can be done at the age of 65. 1. Indications for gastroscopy: the presence of obvious upper gastrointestinal symptoms (such as acid reflux, heartburn, epigastric pain, etc.); upper gastrointestinal bleeding of unknown etiology, location and nature; foreign body in the upper gastrointestinal tract; regular review of the upper gastrointestinal tract after treatment of tumors or ulcers; family history of gastric cancer and other high-risk groups for gastric cancer. 2. Contraindications to gastroscopy: those who can not cooperate due to serious mental diseases and severe spinal deformity; critical patients with severe cardiopulmonary insufficiency and in shock; those with acute perforation of the digestive tract; those with huge diverticula in the esophagus and duodenum. 65 years of age with the above indications for gastroscopy to rule out contraindications, you can consult a doctor to routinely perform gastroscopy, the specific circumstances, please ask a professional doctor to assess.