Colonoscopy completion rates and reasons for incompletion

Badr Aljarallah1, Bader Alshammari

  • 1Department of Medicine, Gastroenterology Division, King Fahd Specialist Hospital, Qassim University, Saudi Arabia.

Insights

Colonoscopy completion rates in Saudi Arabia were 85.3%, below the recommended 90-95%. Poor bowel preparation was the primary cause, highlighting the need for improved quality measures in endoscopy units.

Area of Science:

  • Gastroenterology
  • Endoscopy Quality Improvement

Background:

  • Colonoscopy is a key gastroenterology procedure.
  • Procedure quality, including completion rate, is crucial for reliable outcomes.
  • Endoscopy unit completion rates serve as a quality benchmark.

Purpose of the Study:

  • To evaluate the colonoscopy completion rate at a tertiary hospital in Saudi Arabia.
  • To compare the observed completion rate with established benchmarks.
  • To identify factors contributing to colonoscopy incompletion.

Main Methods:

  • Retrospective review of endoscopy database from King Fahad Specialist Hospital (2005-2008).
  • Analysis of colonoscopy procedures based on indication.
  • Comparison of achieved completion rates against professional society recommendations (90-95%).

Main Results:

  • The adjusted colonoscopy completion rate was 85.3%.
  • Inadequate bowel preparation was identified as the main reason for incompletion.
  • Completion rates remained consistent throughout the study period.

Conclusions:

  • The observed colonoscopy completion rate falls short of recommended standards.
  • This finding underscores the necessity for enhanced quality improvement initiatives within the endoscopy unit.
  • Addressing poor bowel preparation is critical for improving colonoscopy efficacy.
Abstract

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