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2011, Number 2

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Evid Med Invest Salud 2011; 4 (2)

Endoscopic findings in 878 studies of colonoscopy. Initial experience of the Oaxacan Regional Specialist Hospital, Mexico.

Geminiano-Martínez EE, Sánchez-Guerrero R, Muñoz-Hernández O, Jarquín-Arremilla A, Tafoya-Ramírez F, Ojeda-Alcalá Á

Language: Spanish
References: 20
Page: 42-47
PDF size: 161.90 Kb.


ABSTRACT

Introduction: Colonoscopy has become indispensable in certain intestinal diseases, even considered a benchmark for setting specific treatments. The aim of this study is to describe the endoscopic results found in 878 patients over a period of 53 months and knows the application fields and more frequent diagnoses.
Material and methods: An observational, transversal and prospective study in patients who request it colonoscopy between July 5, 2006 and December 31, 2010. The variables analyzed were age, gender, endoscopic procedure used, hospital and specialty area requested, and shipping and colonoscopic diagnosis.
Results: Eight hundred seventy-eight colonoscopies were performed during the study period. Fiftythree point five percent (470) of the studies were conducted in female individuals and 46.5% (408) in men, mean age was 50.7 years (range 5 to 88 years). The most frequent indication for the study was gastrointestinal bleeding with 17%. The results was grossly normal in 36.4% (320) of patients. The most frequent endoscopic diagnosis was hemorrhoid disease in 9.3% (82) of cases.
Discussion: The indications and endoscopic findings were similar to those reported in other series. In the authors’ experience, colonoscopy has a high diagnostic index and is a safe procedure and that the complication rate was less than 0.01%.


REFERENCES

  1. Jerome DW, Douglas KR, Christopher BW. Colonoscopy: Principles and Practice. 2nd edition, 2009 Blackwell Publishing Ltd., pag: 3-18.

  2. Barriento FJ. Colonoscopia y polipectomía. Rev Gastroenterol Mex 1990; 3: 181-184.

  3. Fletcher RH. Rationale for combining different screening strategies. Gastrointest Endosc Clin N Am 2002; 12:53.

  4. Rex DK, Johnson DA , Anderson JC, Schoenfeld PS, Burke CA , Inadomi JM. American College of Gastroenterology guidelines for colorectal cancer screening 2009. Am J Gastroenterol 2009;104 (3): 739.

  5. Rex DK, Petrini JL, Baron TH, Chak A, Cohen J, Deal SE et al. Quality indicators for colonoscopy. Am J Gastroenterol 2006; 101: 873-85.

  6. Rivera de la Vega A, Torices-Escalante E, Domíguez-Camacho L, Núñez-González E, Espi nal-Brito R, Rosas-Barrientos V. Hallazgos endoscópicos en estudios colonoscópicos realizados en el Hospital Regional 1º de Octubre del ISSSTE. Rev Esp Med Quir 2010; 15 (3): 139-143.

  7. Unzueta-Hebert A, Villanueva-Sánez E, Rocha-Ramí rez JL, Peña-Ruzí Esparza JP, Barrientos-castro FJ. La colonoscopia. Análisis de 2,000 procedimientos. Rev Gastroenterol Mex 2000; 65 (3): 104-108.

  8. Figueroa_barojas P, Vinageras Barroso J, Brito-Lugo P. Colonoscopia en pacientes ancianos, experiencia en el Hospital Español de México. Endoscopi a 2009; 21 (2): 27-34.

  9. Rangel-Cruz ESH, Reyes-Dorantes A. Hallazgos endoscópicos en colonoscopias realizadas en el Hospital Central Militar. Endoscopia 2006; 18 (supl 1): 16-17.

  10. Emura F, Carr-locke D, Santacoloma M. La colonoscopia: su razón, su indicación y la medición de su calidad. A propósito de un estudio que dice que ¡no es tan buena como parece! Rev Col Gastroenterol 2009; 24 (1): 51-59.

  11. Iqbal CW, Cullinane DC, Schi ller HJ, et al. Surgical management and outcomes of 165 colonoscopic perforations from a single institution. Arch Surg 2008; 143:701.

  12. Rabeneck L, Paszat LF, Hilsden RJ, et al. Bleeding and perforation after outpatient colonoscopy and their risk factors in usual clinical practice. Gastroenterology 2008; 135:1899.

  13. Warren JL, Klabunde CN, Mariotto AB, et al. Adverse events after outpatient colonoscopy in the Medicare population. Ann Intern Med 2009; 150:849.

  14. Levin TR, Zhao W, Conell C, et al. Complications of colonoscopy in an integrated health care delivery system. Ann Intern Med 2006; 145:880.

  15. Winawer SJ, Fletcher RH, Miller L, et al. Colorectal cancer screening: clinical guidelines and rationale. Gastroenterology 1997; 112:594.

  16. O'Brien MJ, Winawer SJ, Zauber AG , et al. The National Polyp Study. Patient and polyp characteristics associated with highgrade dysplasia in colorectal adenomas. Gastroenterology 1990; 98:371.

  17. Levin B, Lieberman DA , McFarland B, et al. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. CA Cancer J Clin 2008; 58:130.

  18. U .S. Preventiv e Services Task Force. Screening for colorectal cancer: U.S. Preventive Services Task Force recommendati on statement. Ann Intern Med 2008; 149:627.

  19. Fletcher RH, Nadel MR, Allen JI, et al. The quality of colonoscopy servi cesresponsibilities of referring clinicians: a consensus statement of the Quality Assurance Task Group, National Colorectal Cancer Roundtable. J Gen Intern Med 2010; 25:1230.

  20. Kaminski MF, Regula J, Kraszewska E, et al. Quality indicators for colonoscopy and the risk of interval cancer. N Engl J Med 2010; 362:1795.




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