尼日利亚拉各斯的结肠镜检查实践:审计报告。

Diagnostic and Therapeutic Endoscopy Pub Date : 2013-01-01 Epub Date: 2013-02-27 DOI:10.1155/2013/798651
C A Onyekwere, J N Odiagah, O O Ogunleye, C Chibututu, O A Lesi
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引用次数: 0

摘要

背景。结肠镜检查的有效性取决于检查质量。以社区为基础的发展中国家结肠镜检查质量报告将有助于确定标准,并促进改善服务。目的审查尼日利亚拉各斯的结肠镜检查质量,记录结肠疾病的模式,包括息肉检出率。方法。制定并向拉各斯所有已确定的结肠镜检查单位发送了一份协议,该协议记录了患者的人口统计学特征、适应症和结肠镜检查的一些质量指标,要求这些单位完成 2011 年 1 月至 2012 年 6 月期间进行的所有结肠镜检查。对所有数据进行了整理和分析。所研究的质量指标与指南标准进行了比较。结果。共确定了 12 家结肠镜检查中心,但只有 9 家中心做出了回应。胃肠病学家/内镜医师分别是内科医生(3 名)和外科医生(5 名)。在此期间共进行了六百零七例结肠镜检查(男:女=333:179),其中 95 例未披露性别。检查适应症为下消化道出血(24.2%)、排便习惯改变(9.2%)、下腹痛(9.1%)、儿童癌筛查(4.3%)和不明原因(46.8%)。一般都会使用意识镇静剂,同时使用低渣饮食和刺激性泻药进行肠道准备(81.4%的患者肠道准备良好)。盲肠插管率为 81.2%。常见的内镜检查结果为痔疮(43.2%)、息肉/肿块(13.4%)、憩室(11.1%)和无异常(23.4%)。6.8%的病例检测出息肉。结论。结肠镜检查的利用率很低,检查质量也不尽如人意;虽然资源有限可能是部分原因,但目前还不清楚息肉检出率低的原因是漏检病灶还是人群发病率低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Colonoscopy practice in lagos, Nigeria: a report of an audit.

Colonoscopy practice in lagos, Nigeria: a report of an audit.

Colonoscopy practice in lagos, Nigeria: a report of an audit.

Background. Colonoscopy effectiveness depends on the quality of the examination. Community-based report of quality of colonoscopy practice in a developing country will help in determining standard and also serve as a stimulus for improvement in service. Aim. To review the quality of colonoscopy practice and document pattern of colonic disease including polyp detection rate in Lagos, Nigeria. Method. A protocol that captured the patients' demographics, indication, and some quality indices of colonoscopy was developed and sent to all the identified colonoscopy units in Lagos to complete for all procedures performed between January 2011 and June 2012. All data were collated and analyzed. The quality indices studied were compared with guideline standard. Results. Twelve colonoscopy centers were identified but only nine centers responded. The gastroenterologist/endoscopists were physicians (3) and surgeons (5). Six hundred and seven colonoscopy procedures were performed during this period (M : F = 333 : 179) while the sex was not disclosed in 95 subjects. The examination indications were lower GI bleeding (24.2%), altered bowel habits (9.2%), lower abdominal pain (9.1%), screening for CRC (4.3%) and unspecified (46.8%). Conscious sedation was generally used while bowel preparation (good in 81.4%) was done with low residue diet and stimulant laxatives. Caecal intubation rate was 81.2%. Common endoscopic findings were haemorrhoids (43.2%), polyps/masses (13.4%), diverticulosis (11.1%), and no abnormality (23.4%). Polyp was detected in 6.8% of cases. Conclusion. Colonoscopy utilization is low, and the quality of practice is suboptimal; although limited resources could partly explain this, however it is not clear if the low rate of polyp detection is due to missed lesions or low population incidence.

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