Lower gastrointestinal endoscopies results

Abstract

Objective: Endoscopic examinations have great potential in early diagnosis of colorectal adenomas and carcinomas with reducing to colorectal cancer incidence and mortality. We aimed to evaluate for diagnostic purposeful lower gastrointestinal endoscopic procedures in the second step state hospital retrospectively Methods: Between June 2010 and June 2013, we evaluated 278 patients with rectal bleeding, constipation and abdominal pain detected by lower gastrointestinal endoscopic procedures retrospectively. Results:The mean age of the patients was 54.8 ± 16.8 (15-90) year, respectively. 172 (61.9%) of the patients were male and 106 (38.1%) of the patients were female. 116 (41.7%) of the patients was performed rectosigmoidoscopy and 162 (58.3%) of the patients was performed colonoscopy. 51(18.3%) of our patients were normal. 10 (3.6%) of patients had colorectal cancer, 11(3.9%) of patients had inflammatory bowel disease, 8 (2.9%) of patients had parasitosis, 31(11.1%) of patients had colorectal polyps, 12 (4.3% ), in patients had diverticular disease, 2 (0.7%) patients had rectal ulcer, 25 (9%) patients had anal fissure and 159 (57.2%) of the patients had hemorrhoidal disease. Conclusion:Lower gastrointestinal endoscopy is a method been the gold standard with a low complication rate and that can be easily applied in the evaluation to pathology of colorectal and anal canal. GİRİŞEndoskopik incelemeler, kolorektal adenom ve karsinomlarının erken tanısı, eksizyonu ile kolorektal kanser insidansını ve mortalitesini azaltmada bü-yük potansiyele sahiptirler. Hastaların bir çoğuna alt gastrointestinal sistem endoskopi istemi anemi etiyolojisini araştırmak, karın ağrısı, rektal kanama ve kabızlık nedeniyle yapılmaktadır, bu şikayetler iyi huylu anorektal hastalıklara bağlı olabileceği gibi kolorektal malignitelerde de görülmektedir [1,2]. Kolorektal kanserler tüm dünyada 3. en sık izlenen kanser olup, ortalama her yıl 1 milyon yeni olgu ve 500.000 ölüm bildirilmektedir. Kolon kanseri için risk

Factors affecting successful colonoscopy procedures: Single-center experience

“…Colonoscopy examination should be conducted in all cases in which polyps are detected. Polyp detection rates in our country are between 7% and 20% and are similar to the results of our study (4,5,7).…”

“…The most frequent pathology following normal findings is haemorrhoidal dis-ease. Haemorrhoidal disease rates are seen to be around 14%-58% in our country (4,5,18). Different rates in the literature were obtained from different geographic regions, and 21% rate in our study supports the haemorrhoidal disease rate in Istanbul region.…”

“…In some studies conducted in our country, colonoscopy success rates were presented between 61.7% and 81% (4,5). Patient discord and inadequate bowel cleansing were shown as the reason of low rates.…”

“…Colonoscopy is made most frequently for colorectal cancer screening and data vary among societies (3). The colonoscopy results in our country were presented from different geographies (4)(5)(6)(7). When examining the colonoscopy results, reaching the cecum and not overlooking the adenomas are shown as success criteria (8,9).…”