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How well can surgeons perform colonoscopy?

S D Wexner¹, K A Forde, G Sellers

¹Department of Colorectal Surgery, Cleveland Clinic, Florida, 3000 West Cypress Creek Road, Fort Lauderdale, FL 33309, USA.

Surgical Endoscopy

|November 20, 1998

Summary

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Surgeons safely perform colonoscopies for diagnosis and treatment. This study shows colonoscopy by surgeons is effective with low complication rates, confirming its safety and speed.

Area of Science:

Gastroenterology
Surgical Procedures
Medical Outcomes

Background:

Limited recent data on surgeon-performed colonoscopy efficacy and complications.
Need for assessment of outcomes for diagnostic and therapeutic colonoscopies performed by surgeons.

Purpose of the Study:

To retrospectively evaluate the outcomes of colonoscopies performed by surgeons.
To assess the safety and efficacy of surgeon-led colonoscopic procedures.

Main Methods:

Retrospective chart review of 2,069 colonoscopies performed by surgeons between January 1992 and April 1995.
Analysis of patient demographics, indications, procedural details, findings, complications, and sedation dosages.

Main Results:

Related Experiment Videos

Colonoscopies were performed for various indications including polyp and cancer surveillance, rectal bleeding, and family history.

The cecum intubation rate was 96.5%. Average procedure time was 34.7 minutes.

Major complications after polypectomies were low (0.2%), including bleeding and perforations.

Conclusions:

Colonoscopy performed by surgeons is a safe and rapid procedure.
The study confirms the efficacy of surgeons in performing both diagnostic and therapeutic colonoscopies.