Compliance with Quality Standards and Causes of Incomplete Colonoscopy: A Prospective Observational Study
Journal Title: Türk Kolon ve Rektum Hastalıkları Dergisi - Year 2019, Vol 29, Issue 1
Abstract
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.
Authors and Affiliations
Ulaş Aday, Ebubekir Gündeş, Hüseyin Çiyiltepe, Durmuş Ali Çetin, Emre Bozdağ, Sabiye Akbulut, Rabia Köksal, Erdal Polat
Keywords
Related Articles
- EP ID EP526262
- DOI 10.4274/tjcd.galenos.2018.68736
- Views 101
- Downloads 0
Safety of Health Workers During Hyperthermic Intraperitoneal Chemotherapy Procedure
Peritoneal carcinomatosis (PC) is often considered an end-stage condition. Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) has emerged as the only potentially curative treatment for PC....
Compliance with Quality Standards and Causes of Incomplete Colonoscopy: A Prospective Observational Study
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 c...
Evaluation of Factors Associated with Anastomotic Leakage in Colorectal Surgery
Aim: One of the most feared complications after surgical treatment of colorectal diseases is anastomotic leaks. Regarding this issue, we aimed to determine factors that may cause anastomotic leaks by analyzing cases of c...
Peritoneal Disease Severity Score Predicts the Prognosis of Peritoneal Metastasis of Colorectal Origin: A 10-year Longitudinal Analysis of a Single-Center Experience
Aim: Peritoneal Surface Disease Severity score (PSDSS) has been used in the evaluation of patients who are scheduled for cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) for peritoneal me...
Does Body Mass Index Affect the Number of Excised Lymph Nodes in Colorectal Cancer Surgery?
Aim: This study investigated the effect of body mass index (BMI) on the total number of excised and metastatic lymph nodes in patients undergoing elective surgery for colorectal cancer. Method: The cases of 185 patients...