Colonoscopic findings in patients referred to Erbil public endoscopy units

  • Karzan Hikmet Abdullah Department of Medicine, College of Medicine, Hawler Medical University, Erbil, Iraq.
  • Shahryar Mamand Tahir Department of Medicine, College of Medicine, Hawler Medical University, Erbil, Iraq.
Keywords: Colonoscopy, Colitis, Polyps, Malignancy

Abstract

Background and objective: Colonoscopy, which is the visual examination of the large bowel and distal part of the small bowel, is an important diagnostic and therapeutic procedure. This study aimed to find out diagnostic findings of endoscopies in Erbil endoscopy unit and relation to important personal data including age and gender.

Methods: An observational study was carried out from July 2017 to October 2017. Colonoscopies were done for 125 patients who met the inclusion criteria.

Results: The findings of 125 colonoscopies were classified into gross and pathological findings. Colitis was found in 17 patients (13.6%), of which 10 patients (58.4%) had inflammatory bowel disease with higher incidence in females (60%). Polyps were found in 20 patients (16%) with adenomatous type being the most common pathological type (12 patients, 60%). Grossly sessile types were found in 13 patients (60%).Malignant tumors were found in eight cases (6.4%) with male predominance (62.5%). Ulcers were found in six cases (4.8%), and diverticula in five cases (4%). Normal colonoscopy was found in 46 cases (36.8%), with majority of these cases (37 cases) aged 21-41 years. Hemorrhoids were found in 23 patients (18.4%).

Conclusion: Polyps were the most common colonic mucosal pathology with male predominance and older ages, followed by colitis with a higher incidence in females. Malignancies had lesser frequencies, the majority being in male and old age people. Normal colonoscopies and hemorrhoids were the largest groups, and diverticula with ulcers were the least findings.

References

Larry PT, Francis WK, Smith, Dana A. Stedman`s Medical Dictionary. 27th ed. Baltimore: Williams and Wilkins; 2000. P. 381.

Saunders B. Viewing the colon: imaging and colonoscopy. Medicine 2003; 31:2.

Jennifer LB, Burton K. Colonoscopy. Dec 2003. (Accessed March 12, 2017, at: http://www.emedicine.com/med//topic2966,htm).

Podolsky DK, Fitz JG, Kalio AN, Shanshan F, Wango TC. Yamada's textbook of gastroenterology. Jerome D, Waye MD, Christopher B, Anandasapathy S. Colonoscopy and flexible sigmoidoscopy.6thed.Blackwell Publishing; 2009. P. 2650-61.

Christopher BW, Robin KS. Flexible sigmoidoscopy and colonoscopy. Medicine 2003; 31(2):161.

Sliesenger MH, Fieldman M, Brandt LJ. Sliesenger and Fordtron’s gastrointestinal liver disease.10thed. Philadelphia: Saunder's and Elsevier; 2010. P. 970–78

Masters PA, Oxentenko SA, Tunkel RA, Burke CA, Dimiango MJ, Gross SA, et al. MKSAB 17: Medical knowledge self-assessment program. Philadelpha: American College of Physicians; 2015. P. 44–54

Palmer KR, Penman ID, Alimentary tract and pancreatic disease, Colledge RN, Walker RB, Ralston, H. Stuart. Davidson's principle and practice of medicine. Edinburgh, UK Churchil and Levingston; 2009. P. 855–6

Mohammad A, Al Shamali A, Maher K. Colonoscopy: Evaluating indications and diagnostic yields. Ann Saudi Med 2001; 21(5-6):304–7.

Mudawi HM, Nanakaly SM, El tahir MA, Ibrahim SK. Indications and findings of colonoscopy in patients presenting to the endoscopy unit at Soba University hospital in Khartoum Sudan. Arab Journal of Gastroenterology 2010; 11(2):101–4.

Santos JM, Felicio F, Lyra Junior HF, Martins MRC, Cardoso FB. Analysis of Polyps in 3491 videocolonoscopies. Rev bras Coloproct 2008; 28(3):229–305.

Bafendah Y, Khoshbaten M, Sadat ATE, Farhang S. Clinical predictors of colorectal polyps in a low prevalence region: Results of a colonoscopy Based study. World J Gastroenterol 2008; 14(10):1534–8.

Gupta S, Palmer BF. Colorectal polyps: the scope and management of the Problem. Am J med Sci 2008; 407–17.

Bokeyemer B, Bock H, Huppe D, Duffelmeyer AR, Tacke W, Koop H. Screening colonoscopy for colorectal cancer prevention: results from German online registry on 269000 cases. Eur J Gastroenterol Hepatol 2009; 21:650–5.

Sayah HA, Talabani DA, Shubber AH, AL Khaldi NM, Jarallah S. Colorectal polyp: Clinical, endoscopic and histopathological features. Karbala J Med 2006; 1(1):17–26.

Valarini SBM, Bortoli VT, Wassano NS, Pukanski MF, Maggi D, Bertollo LA. Correlation between location, size and histologic type of Colorectal polyps at the presence of dysplasia and adenocarcinoma. Journal of Coloproctology (Rio de Janeiro) 2011; 3(31):23–32.

Amira HS, Fayadh MH, Al-Akayshi RG. Chronic colitis: Clinical, endoscopic and histological evaluation of 130 patients. IJGE 2001; 1(1):11–7.

AlBayati SA, Jasim F. Colorectal cancer in a group of Iraqi patients. Mustansiriya Medical Journal 2017; 7(2):36–9.

Published
2019-12-18
How to Cite
Abdullah, K., & Tahir, S. (2019). Colonoscopic findings in patients referred to Erbil public endoscopy units. Zanco Journal of Medical Sciences (Zanco J Med Sci), 23(3), 439-445. https://doi.org/10.15218/zjms.2019.054
Section
Original Articles