Kolonoskopide Kalite Standartlarına Uyum ve İnkomplet Kolonoskopi Nedenleri: Prospektif Gözlemsel Çalışma

• Published in: Turkish journal of colorectal disease Vol. 29; no. 1; p. 25
• Main Authors: Aday, Ulaş, Gündeş, Ebubekir, Çiyiltepe, Hüseyin, Durmuş Ali Çetin, Bozdağ, Emre, Akbulut, Sabiye, Köksal, Rabia, Polat, Erdal
• Format: Journal Article
• Language: English; Turkish
• Published: Mersin Galenos Publishing House 01-03-2019
• Subjects: Age; Anesthesia; Anticoagulants; Body mass index; Colonoscopy; Colorectal cancer; Comorbidity; Compliance; Endoscopy; Gastroenterology; Gender; Health sciences; Hospitals; Intubation; Mortality; Surgery; Systematic review; Tumors
• ISSN: 2536-4898; 2536-4901
• DOI: 10.4274/tjcd.galenos.2018.68736

Aim: To evaluate incomplete colonoscopy rate, factors affecting incomplete colonoscopy, and compliance with colonoscopy quality standards in our clinic.Method: This prospective study was conducted in a tertiary health center between January 2017 and December 2017. Demographic characteristics of individuals undergoing colonoscopy, their colon cleansing status, causes of incomplete colonoscopy, and factors affecting incomplete colonoscopy were investigated.Results: A total of 756 people were included in this study. The mean age was 54±12.74 years and 63% of the patients were female. Mean body mass index (BMI) was 28.32±4.84 and 309 (40.9%) had history of prior abdominal surgery. The duration of cecal intubation was 355±187 seconds and colonoscopy could not be completed in 89 patients (11.8%). Advanced age (p=0.036), female gender (p=0.036), high BMI values (p=0.042), presence of comorbidity (p=0.004), antiaggregant/anticoagulant use (p=0.001), and inadequate bowel cleansing (p<0.001) were found to be significant factors for incomplete colonoscopy. Excluding the patients who had inadequate colon cleansing and were recommended to repeat the procedure, colonoscopy was completed in 93.9% (667/710) of patients. Inadequate bowel preparation was the most common cause of incomplete colonoscopy (51.6%) and male gender (p=0.047), antiaggregant/anticoagulant use (p=0.021) were identified as factors affecting colon cleansing. Polyp detection rate was 24.7%(165/667), below the currently recommended rate of detection of adenoma.Conclusion: Inadequate bowel preparation, advanced age, female gender, high BMI, presence of comorbidity, use of antiaggregant/anticoagulant are risk factors for incomplete colonoscopy. We are below colonoscopy quality standards due to high incomplete colonoscopy rate and low adenoma detection rate due to inadequate bowel preparation.