Audit of colonoscopy practice in Lagos University Teaching Hospital

Osinowo, Adedapo Olumide; Lawal, Oluwagbemiga A; Lesi, Olufumilayo A; Olajide, Thomas; Adesanya, AA

doi:10.4103/1595-9587.175487

Cited by 5 publications

(9 citation statements)

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“…This suggests that diseases requiring colonoscopy are common in males in respect to females. The mean age of the study was 46.98 years similar to the study done in western Nepal by Chaudhary S et al [5], in Lagos by Osinowo A [10], in Nigeria by BO Ismaila et al [11]; wheremean age being 45.23years, 46.9 years, 43.5 years respectively whereas some study done in Pakistan by Salamat A [6], in Jamaicaby Plummer et al [12] and in Nigeria by Arigbabu et al [13] had mean ages of 50years, 60.6years and 56.40years respectively. This may suggest that lower gastrointestinal diseases are seen slightly earlier in our country.…”

Section: Discussionsupporting

confidence: 84%

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Clinical Profiles and Endoscopic Findings of Patients Undergoing Colonoscopy in Nobel Medical College

Shrestha¹,

Rajbhandari²,

Chhetri³

et al. 2019

J Nobel Med Coll

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Background: Colonoscopy is an invasive procedure used both diagnostically and therapeutically. Direct visualization and real-time image of entire large colon and distal terminal ileum makes it superior. Patients are unable to undergo colonoscopy because of the limitation in the developing country. Moreover, limited studies are available in our country regarding the colonic diseases. Materials and Methods: It was a descriptive cross-sectional study done in Nobel Medical College Teaching Hospital, Biratnagar, Nepal from January 2018 to December 2018. Approval was acquired from Institutional Review Committee. All patients undergoing colonoscopy in the hospital was included. After taking proper consent, bowel preparation, premedications, colonoscopy was performed, findings noted in pro-forma. Results: Of the total 176 patients 119 (67.60%) were male and 57 (32.40%) were female; mean age 46.98 ± 17.13 years. Indication for performing colonoscopy was chronic diarrhea in 58(33.0%), chronic abdominal pain in 47(26.70%). Significant lesion observed in 142 patients (80.68%); colitis with unspecified etiology in 69 (39.20%), ulcerative colitis in 28 (15.90%), crohn’s disease in 13(7.38%).Colitis was more in male 46(66.67%) and involving rectum was common. Pan-ulcerative colitis was common seen in 11patients (39.28%). Conclusion: Chronic diarrhoea and chronic abdominal pain were two common indications. Male patients were in higher prevalence opting for colonoscopy. Colitis of unspecified etiology of rectum and ileo-cecal region was most common finding. Ulcerative colitis involving whole of colon and younger age group was predominantly affected.

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Section: Discussionsupporting

confidence: 84%

“…Haemorroid was common finding in other studies done in African countries [8,10,12]. In comparative study done in China and USA by Wang H [14] common finding was polyps both in China and USA followed by colitis.In the study done in Rawalpindi [4], inflammatory bowel disease was dominant colonoscopy finding.…”

Section: Discussionmentioning

confidence: 82%

Clinical Profiles and Endoscopic Findings of Patients Undergoing Colonoscopy in Nobel Medical College

Shrestha¹,

Rajbhandari²,

Chhetri³

et al. 2019

J Nobel Med Coll

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“…Less opting for colonoscopy in females could be due to social factors , lack of education ,feel of discomfort and embarrassment in telling to family members and physicians regarding ano-rectal pathology and carrying out the procedure itself. Mean age of patient who underwent colonoscopy were 46.9 years ,43.5 years and 56.4 years respectively by Osinowo et al, 13 and Ismaila et al, 14 and Arigbabu et al, 15 in three different centers in Nigeria. Mean ages of 60.6 years and 50 years respectively were recorded in studies done by Plummer et al, 16 in Jamaica , and by Salamat et al, 8 in Pakistan.…”

Section: Resultsmentioning

confidence: 94%

“…Rectal bleeding, chronic diarrhea and chronic abdominal pain were common indication for colonoscopy in studies by Salamat et al, 8, Ngimet al, 10 Osinowo et al, 13 and Plummer et al, 16 In a study by Wang et al, 17 in a tertiary hospital in America, the commonest indication was screening for colorectal polyp and carcinoma. The most common indication was bleeding per rectum and was observed in 37.9% patients in the study by Dinesh et al, 9 in India.…”

Section: Resultsmentioning

confidence: 97%

Clinical Profile and Endoscopic Findings in Patients undergoing Colonoscopy at a Tertiary Care Centre of Central Nepal

Bhattarai

Acharya²

2020

J Coll Med Sci-Nepal

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Background: Colonoscopy is an invasive procedure used for both diagnostic and therapeutic purpose for detection and management of the diseases of rectum, colon, and terminal ileum. This study was undertaken to assess the clinical profile and endoscopic findings in patients undergoing colonoscopy. Methods: One hundred and sixty patients underwent colonoscopy from January 2018 till December 2019. Clinical profile, endoscopy and histological findings were studied from the hospital departmental records. Results: The commonest indications for performing colonoscopy were chronic diarrhea, altered bowel habits, chronic abdominal pain and bleeding per rectum. Colitis of unspecified etiology followed by ulcerative colitis and polyps were the common colonoscopy findings. Colorectal carcinoma were not uncommon. Conclusions: Colonoscopy is the gold standard modality for diagnosis of pathologies of lower gastro intestinal tract and should be an integral part of management. Screening colonoscopy is strongly recommended. Keywords: colitis; colonoscopy; colorectal disease

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“…[17] Studies from Zambia and Nigeria reported overall PDRs of 10% and 7.4%, respectively. [18,19] Unfortunately, none of the studies from our region reported ADRs, as very few of the colonoscopies performed were true screening scopes. For the same reason, these PDRs must be interpreted with caution.…”

Section: Discussionmentioning

confidence: 97%

The ‘ins and outs’ of colonoscopy at Wits Donald Gordon Medical Centre, South Africa: A practice audit of the outpatient endoscopy unit

et al. 2020

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Colonoscopy is regularly used for investigation of bowel pathology and has become the gold standard for screening and diagnosis of colorectal cancer (CRC). [1] The procedure has diagnostic and therapeutic benefits, such as direct visualisation of the entire colon and removal of precancerous polyps, which is associated with a lowered risk of CRC. [2] Colonoscopy is a skill-intensive procedure and poses a risk to the patient, even if performed by a trained endoscopist in an appropriate setting. [1] Therefore, there is a need for standardised practice and regular audit of endoscopists to ensure consistent, high-quality care. [3] Based on the 'adenoma-carcinoma sequence' hypothesis for developing CRC, screening and surveillance colonoscopy aim to detect and remove polyps, particularly adenomatous polyps, with the intention of reducing the incidence of CRC. [4] Therefore, the polyp detection rate (PDR) and adenoma detection rate (ADR) are two key indicators of the quality of endoscopy. Other measurable This open-access article is distributed under Creative Commons licence CC-BY-NC 4.0.

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Audit of colonoscopy practice in Lagos University Teaching Hospital

Cited by 5 publications

References 0 publications

Clinical Profiles and Endoscopic Findings of Patients Undergoing Colonoscopy in Nobel Medical College

Clinical Profiles and Endoscopic Findings of Patients Undergoing Colonoscopy in Nobel Medical College

Clinical Profile and Endoscopic Findings in Patients undergoing Colonoscopy at a Tertiary Care Centre of Central Nepal

The ‘ins and outs’ of colonoscopy at Wits Donald Gordon Medical Centre, South Africa: A practice audit of the outpatient endoscopy unit

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