Colonoscopy at El Obeid Hospital, Western Sudan (original) (raw)
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Arab Journal of Gastroenterology, 2010
Background and study aims: The new endoscopy unit at Soba University Hospital in Khartoum, Sudan is an emerging unit, established in June 2003. In 2004 less than 200 colonoscopies were performed , the number rising to over 700 colonoscopies in 2009. The objectives of this study were to identify the common indications and findings in patients attending for colonoscopy and to study the correlation between patients' symptoms and significant endoscopic findings, mainly colonic polyps and colorectal cancer. Patients and methods: All patients referred for colonoscopy were assessed prospectively by the study investigators and a questionnaire was filled with all relevant data including age, gender, indications for the procedure, clinical examination and endoscopic findings. Results: A total of 123 patients were included in the study with a mean age of 46.7 years. Indications for colonoscopy included abdominal pain, altered bowel motions, rectal bleeding and iron deficiency anaemia. Polyps were found in 15% of cases and colorectal cancer in 11%. Male gender, iron deficiency anaemia and a rectal mass on digital examination were all significant risk factors in predicting a positive diagnostic yield on colonoscopy. Conclusion: Patients presenting with iron deficiency anaemia and a rectal mass on digital examination should have a priority over others in undergoing a colonoscopy. Despite the fact that flexible sigmoidoscopy is a useful initial investigation when a delay is anticipated in doing a colonoscopy, cases with proximal colonic polyps and cancers can be missed. Performing a full colonoscopy should be the investigation of choice in symptomatic patients.
Cureus
Introduction Colonoscopy is used to detect colorectal abnormalities, including inflammatory bowel disease, polyps, cancers, and other colorectal lesions. We aimed to analyze the demographic and clinical characteristics, main findings, and indications of patients who underwent colonoscopy in the Surgery department of Tripoli Central Hospital in Libya. Methods The study data were retrospectively extracted from the medical in and outpatient records of individuals who underwent colonoscopy procedures between December 2009 and December 2016 in the general surgery department of Tripoli General Hospital. Results A total of 1858 patients underwent colonoscopy during the study period with a mean age of 51.7 ± 18.5 years. Hematochezia was the most common patient complaint (530; 28.5%), followed by constipation (354; 19.1%), and weight loss (178; 9.6%), respectively. Seven-hundred sixty-five (765; 41.2%) participants completed the procedure, 420 (22.6%) did not, and 673 (36.2%) participants failed the colonoscopy. The most common reasons for procedure failure were failed preparation (609; 55.7%), followed by patient intolerance (251; 23.0%), and obstructive lesions (229; 21.0%). The most common finding was colonic masses, followed by polyps (29.0% and 20.8%, respectively). Conclusion This study describes the characteristics of colonoscopy patients in the largest surgical center in Libya over seven years. Hematochezia and chronic constipation were the most common complaints among the participants with reported complaints. Half of the colonoscopy procedures are incomplete or failed due to the lack of patient preparation. Colonic masses and polyps were the most common among the reported colonoscopic findings. Future research to increase the quality of colonoscopy service and patient preparations in Libya is required.
Colonoscopy: Early Experience in National Hospital Abuja Nigeria
International Journal of Gastroenterology, 2020
Colonoscopy has become one of the most important modalities in the assessment of the lower gastrointestinal lesions. This study focused on our early experience with colonoscopy documenting the indications and outcome in the first five years of Colonoscopy in National Hospital, Abuja, Nigeria. This was a retrospective analysis of demographic data, indications for colonoscopy, agents used for bowel preparation, type of anaesthesia used, endoscopic findings, and extent of colon intubation from the endoscopy unit register of National Hospital, Abuja between July 2007 and June 2012. Patients whose data were incomplete or procedure abounded were excluded. Two hundred and eleven patients had colonoscopy during the 5 year period. Only 153 patients fulfilled the inclusion criteria and their data analysed. Males were 107 (69.9%) and 46 (30.1%) were females given a male/female ratio of 2.3:1 Age range was 2years to 90years with a Mean of 48.02. The commonest indications were bleeding per rectum (33.3%), haemorrhoids (24.8%) and suspicion of malignancy of the lower gastrointestinal tracts (24.3%). The most common findings on colonoscopy in our study were haemorrhoids (47.7%) and malignancies (24.2%) of various parts of the large bowel. 12.4% of the patients had normal study. Our Ceacal intubation rate was 75.8%. Majority of the lesions were found in the Anorectal region (69.9%) with only 17.7% in the rest of the Colon 24.2% of our findings were malignancies of lower intestinal tract. 97.3% of the malignancies were Adenocarcinoma. 83.8% of the malignancies were located in the left colon. Assessment of lower gastrointestinal symptom is incomplete without colonoscopy. Colonoscopy gives a good yield in well selected patients, it is safe and has low complication rate.
Colonoscopy in Ido-Ekiti, Nigeria: A Four-Year Review
2020
Background: Lower gastrointestinal complaints are common, and the underlying diseases varies widely. Colonoscopy is the gold standard investigation for lower gastrointestinal symptoms. It helps in the proper diagnosis and the appropriate management of the underlying lesions. Aim: To determine the characteristics of the patients undergoing colonoscopy in a rural community in southwestern Nigeria. Methods: This was a retrospective cohort study of all patients who had colonoscopy between February 2016 and February 2020 (a period of 4 years). The Age, Gender, Indication and the Endoscopy findings were obtained from the Endoscopy Register. A total of 35 colonoscopies had been performed over the period. The data obtained was analyzed using the Statistical Package for the Social Sciences (SPSS) version 21.0. Descriptive statistics used included frequency tables, means and standard deviations. Results: A total number of 35 colonoscopies were performed during the period under review, out of ...
Indications and findings at colonoscopy in Ilorin, Nigeria
Nigerian Medical Journal, 2013
cancers or colonic disorders that may be associated with colon cancer may also undergo periodic colonoscopies. 2,3 Even though the procedure is widely used in developed countries, it is not readily available in Nigeria. 4-7 There is a paucity of data on the indications, endoscopic findings and diagnostic yield at colonoscopy in Nigerians. 7 Diagnostic yield was defined as the ratio between significant findings detected on colonoscopy and the total number of procedures performed for that indication. In our study, the definition of significant findings was based on certain positive results on colonoscopy. A normal colonoscopy was not considered significant, although this may be relevant to patient care as it may rule out a serious disease in the colon during surveillance. We, therefore, determined the indications and endoscopic findings in Nigerians who underwent colonoscopy. MATERIALS AND METHODS The setting of the study was at Crescent Hospital, Ilorin. It is a private hospital that runs a specialised gastroenterology clinic and GI endoscopic services. It receives referrals for
Colonoscopy Findings: A Single Institution Study from Pakistan
Cureus, 2019
Introduction Colonoscopy is a diagnostic procedure used not only for screening and assessment but also for therapeutic management of various diseases such as removal of polyps, flat lesions, etc. In this study, we determine various outcomes of colonoscopy done in the gastroenterology unit of Ghulam Muhammad Mahar Medical College and Teaching Hospital in Pakistan. Methods and Materials This retrospective cross-sectional review was carried out at the colonoscopy unit of Ghulam Muhammad Mahar Medical College and Teaching Hospital in Sukkur, Pakistan. Data was gathered from medical records of patients and by calling their physicians if necessary from July 1 to December 31, 2018. Results In our study, the most common site for colonoscopy was a rectosigmoid colon (37.85%, n=134), almost parallel to the anal canal (37.57%, n=133). Normal colonoscopy was reported in 25.42% (n=90). The most common pathology was hemorrhoids (32.48%, n=115), followed by ulcers (17.79%, n=63). Conclusion Colonoscopic detection of hemorrhoids was the most common finding in colonoscopy. Normal colonoscopy was less compared to other literature, suggesting physicians are carefully screening patients in advising colonoscopies.
Quality of colonoscopy practice: a single-center experience in Egypt
The Egyptian Journal of Internal Medicine, 2016
Background Colonoscopy is a technically demanding procedure with the potential to cause harm if its performance is suboptimal. It is incumbent on endoscopists, therefore, to evaluate their practices and to make improvements wherever possible. Bolak Eldakror Hospital is a secondary-care governmental hospital in Egypt in which we set up an endoscopy quality-assurance program in 2003. Aim The aim of this study was specifically to evaluate the quality of colonoscopy practice in our endoscopy unit and by publishing our experience to encourage others to develop a quality-improvement program. Patients and methods Predetermined international quality indicators for colonoscopy were employed to monitor the standard of endoscopic procedures between 2010 and 2014. Recorded information included all medical and technical details. Results A total of 286 colonoscopies were assessed. The main indication of colonoscopy was hematochezia (58.7%). Polyps were the main endoscopic findings (34.6%). Conscious sedation was used in 56.6%. Cecal intubation was achieved in 77.6%. The adjusted cecal intubation was 94%. Image documentation of cecal intubation was achieved in 92.3% examinations reaching the cecum. Mean cecal intubation time was 17.4±10 min. Mean withdrawal time was 6.6±4 min. The main reasons for unsuccessful cecal intubation were impassable mass or stricture in 23 (8%) colonoscopies and poor bowel preparation in 23 (8%). Colon preparation was rated adequate in 66.4%. Diagnostic colorectal biopsies for those with persistent diarrhea were obtained in 97%. Polyp detection rate was 36.1% and adenoma detection rate was 5.3%. Polypectomy was carried out in 89 (93.6%) patients with detected polyp/s. Retrieval of all excised polyps was successful in 84.3%. Postpolypectomy perforation occurred in one (0.4%) patient. Conclusion A high standard of colonoscopy can be achieved by the rigorous application of quality-assurance measures.
Frequency of Colorectal lesions among Sudanese Patient attending for endoscopy-multi center study
2020
Background Colorectal cancer is one of the most significant causes of cancer death. With records of high incidence and late detection of the disease in Sudan, and it was found to affect younger age groups.Methods This study aimed to explore the incidence of colorectal lesions in the main endoscopic centers in Khartoum state- Sudan. It was a cross-sectional prospective study; data were collected from patients attending the main endoscopic centers in Sudan- Khartoum state during February 2013 to June 2014 including Khartoum teaching hospital, Neelain medical diagnostic center and Ibn sina hospital.Results One hundred and six participants were diagnosed endoscopically with colorectal lesions, 44 (41.5%) showed inflammatory mucosa, 40 (37.7 %) showed tumor and 22 (20.7%) had polyps.In the whole group of patients the mean age was 45.7 years, 34.2% of tumor patients were less than 50 years old, 46.8% of the lesions were in the rectum, the highest frequency of tumor patients group were fro...