Three Years of Colonoscopy Experience in a Tertiary Hospital in Maldives

M. Khadka
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Abstract

Background: Colonoscopy is the procedure of choice in investigations of suspected pathologies related to colon and terminal ileum and the standard practice for screening colonic polyps and cancer, especially in the elderly. Adequate bowel preparation is important for the efficacy of the procedure. As there is a lack of published data on colonoscopy preparation and findings in the Maldives, this study was conducted to share the single-center experience. Materials and Methods: This was a retrospective observational preliminary study carried out in the endoscopy center at ADK hospital, Maldives from April 2017 to March 2020. All patients were evaluated as per pre-designed Pro-forma. The procedure was performed after a pre-anesthetic check-up with intravenous sedation after bowel preparation as protocol. Findings were noted and Biopsies were taken as per need and sent for histopathologic examination. Results: Out of 129 patients who underwent lower gastrointestinal endoscopy, only 98 were included for the study analysis. Among them, 44% of patients were male and 56% were female. Young adults were more involved in the procedure. Bowel preparation was poor in the majority (52%). Bleeding per rectum was the most common indication (40%) and hemorrhoids were the most frequent finding (52%). In 86% of patients, colonoscopy was complete up to cecum with the majority of them up to terminal ileum. Conclusion: Per rectal bleeding was the most common indication for colonoscopy and hemorrhoids were the most common findings. Despite poor bowel preparation due to the lack of a standard cleansing regimen, the yield of the procedure was yet satisfactory.
马尔代夫三级医院结肠镜检查三年经验
背景:结肠镜检查是结肠和回肠末端可疑病变调查的首选程序,也是筛查结肠息肉和癌症的标准做法,尤其是在老年人中。充分的肠道准备对手术的疗效很重要。由于缺乏马尔代夫结肠镜检查准备和结果的公开数据,本研究旨在分享单中心的经验。材料和方法:这是一项回顾性观察性初步研究,于2017年4月至2020年3月在马尔代夫ADK医院内镜中心进行。所有患者均按照预先设计的形式进行评估。该手术是在麻醉前检查后进行的,按照方案,在肠道准备后进行静脉镇静。记录检查结果,根据需要进行活检,并送去进行组织病理学检查。结果:在129名接受下消化道内窥镜检查的患者中,只有98人被纳入研究分析。其中男性占44%,女性占56%。年轻人更多地参与手术。大多数患者(52%)的肠道准备较差。直肠出血是最常见的指征(40%),痔疮是最常见(52%)。在86%的患者中,结肠镜检查一直到盲肠,其中大多数患者一直到回肠末端。结论:直肠出血是结肠镜检查最常见的指征,痔疮是最常见的表现。尽管由于缺乏标准的清洁方案,肠道准备不佳,但该手术的效果仍然令人满意。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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