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Colonoscopy Findings: A Single Institution Study from Pakistan.
Saleh Mohammad1, Ghulam Hyder Rind2, Iftikhar Ali Shah3
1Gastroenterology, Ghulam Muhammad Mahar Medical College and Hospital, Sukkur, PAK.
Cureus
|January 1, 2020
Summary
Colonoscopy in Pakistan revealed hemorrhoids as the most common finding, with normal results less frequent than in other studies. This suggests careful patient selection for the diagnostic procedure.
Area of Science:
- Gastroenterology
- Endoscopy
- Diagnostic Procedures
Background:
- Colonoscopy is a vital diagnostic and therapeutic tool for gastrointestinal conditions.
- Its application ranges from screening to the removal of polyps and flat lesions.
- Understanding colonoscopy outcomes is crucial for healthcare quality assessment.
Purpose of the Study:
- To determine the various outcomes of colonoscopies performed at a teaching hospital in Pakistan.
- To identify the most common findings and pathologies detected during colonoscopy.
- To compare the rate of normal colonoscopies with existing literature.
Main Methods:
- A retrospective cross-sectional review of colonoscopy procedures.
- Data collected from medical records at Ghulam Muhammad Mahar Medical College and Teaching Hospital, Sukkur, Pakistan.
- Patient data reviewed from July 1 to December 31, 2018.
Main Results:
- The most frequent colonoscopy sites were the rectosigmoid colon (37.85%) and anal canal (37.57%).
- Hemorrhoids were the most common pathology (32.48%), followed by ulcers (17.79%).
- Normal colonoscopy findings were reported in 25.42% of cases.
Conclusions:
- Colonoscopic detection of hemorrhoids is the most prevalent outcome in this Pakistani population.
- A lower rate of normal colonoscopies compared to other literature may indicate judicious patient selection.
- The findings highlight the importance of colonoscopy in diagnosing common anorectal conditions.