Lower gastrointestinal endoscopy results of surgical endoscopy unit

Abstract

Aim: Endoscopic examinations are gold standard methods with great potential for early diagnosis of colorectal adenomas and carcinomas and reduction of colorectal cancer incidence, and mortality. Our aim in this retrospective study was to evaluate our results regarding the patients who underwent lower gastrointestinal system endoscopy in the general surgical endoscopy unitin Derince Resear hand Training Hospital. Material and Methods: We retrospectively evaluated the data of patients undergoing colonoscopy or rectosigmoidoscopy after admission to the general surgery clinic between January 2015 and December 2017 due to complaints of the lower gastrointestinal system or for bowel preparation for control purposes. Results: Colonoscopies were performed to 57% (n = 2784) of the patients and rectosigmoidoscopy procedure was performed in43% (n = 2100) of 4884 patients. 49.5% (n = 2417) of the patients were males and 50.5% (n = 2467) were females. In 81.5% of the patients the procedure was completed adequately and successfully. The number of patients evaluated as inadequate procedure was 903 (18.5%). Reasons for inadequate procedure were insufficient bowel cleansing in 12.7% (625/4884) of patients and intolerance due to pain in 5.5% (270/4884) of patients. Endoscopic procedures revealed no pathology in 28.7% of the patients (n=1170), hemorrhoids in 30.1 % (n=1198), polyps in 15.7% (n=625), anal fissure in 6.3% (n=250), and malignant diseases in 4.6% (n=183). Conclusion: In this study we evaluated the endoscopy results of the lower gastrointestinal system in our unit, we found that the inadequacy rate of operation was high and the most important cause of this was insufficient bowel cleansing. Being more careful about patient preparation before the procedure, and informing the patient in detail will increase the success of the procedure and prevent unnecessary repetition of the procedure.