Quality and Complications of Colonoscopy in Ahvaz Jundishapur University-Advanced Research in Gastroenterology & Hepatology-Juniper Publishers

JUNIPER PUBLISHERS-Advanced Research in Gastroenterology & Hepatology



QUALITY AND COMPLICATIONS OF COLONOSCOPY IN AHVAZ JUNDISHAPUR UNIVERSITY

Authored by Pezhman Alavinejad

Introduction: Colonoscopy is the most effective method for screening and diagnosing the colorectal cancers. Using colonoscopy has expanded dramatically in recent years due to good efficacy and safety profile. The aim of this study is to evaluate the rate of bowel cleansing by routine prep regimen and quality of performing colonoscopy in outpatient clinics of Ahvaz Jundishapur University with the international standards of quality criteria.
Method: In a 6-months period, data of all patients who were candidate for elective outpatient colonoscopy including quality of bowel prep, polyp detection rate and any potential complication collected by a questionnaire and analyzed.
Results: Totally, 239 (113 males, 125 females) patients enrolled to this study. Patients’ mean ages were 44 ± 16 years (males) and 44.5 ± 16 years (females). In terms of geographic distribution, 59.1% resided in the center of the province followed by 40.1% who were residents of the other areas of province. The most common colonoscopy findings in male patients were anal hemorrhoids (15.7%), proctitis (11%), polyps (10.2%), IBD (5.6%) and cancer (4.6%). Among female patients the findings included anal hemorrhoids (16.7%), proctitis (11%), polyp (8.3%), IBD (6%) and cancer (4.6%), Melanosis coli and anal fissure (3.3%). The most common reasons for referring to colonoscopy among male patients include rectal bleeding (31.5%), Abdominal pain (24.3%), diARGHhea (9%) and constipation (7.2%); in women include rectal bleeding (27.2%), Abdominal pain (25.6%), constipation(12.8%), diARGHhea(10.4%) and anemia (8.8%).
Colon prep was appropriate in 40.5%, inadequate in 36.8% and poor in 22.8% of cases. The rate of cecal intubation was 72.5%. 1.3% of patients experienced minor complication such as pain and abdominal swelling after colonoscopy with no major complication at all.
Conclusion: It seems that our routine regimen for colon prep (PEG 280gr + Bisacodyl TDS) is inadequate for our population and can potentially decrease the quality of our outpatient’s colonoscopy.


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