Turkish Journal of Surgery

Turkish Journal of Surgery

ISSN: 2564-6850
e-ISSN: 2564-7032

 

Ramazan Kozan1, Tonguç Utku Yılmaz2, Uygar Baştuğral3, Umut Kerimoğlu1, Yücel Yavuz4

1Department of General Surgery, Eren Hospital, İstanbul, Turkey
2Department of General Surgery, Kocaeli University School of Medicine, Kocaeli, Turkey
3Department of General Surgery, Sultanbeyli State Hospital, İstanbul, Turkey
4Department of Anaesthesiology and Reanimation, Eren Hospital, İstanbul, Turkey

Keywords: Colonoscopy, cecum, polyp, diagnosis

Abstract

Objective: Colonoscopy is a gold standard procedure for several colon pathologies. Successful colonoscopy means demonstration of the ileocecal valve and determination of colon polyps. Here we aimed to evaluate our colonoscopy success and results.
Material and Methods: This retrospective descriptive study was performed in İstanbul Eren hospital endoscopy unit between 2012 and 2015. Colonoscopy results and patient demographics were obtained from the hospital database. All colonoscopy procedures were performed under general anesthesia and after full bowel preparation.
Results: In all, 870 patients were included to the study. We reached to the cecum in 850 (97.8%) patients. We were unable to reach the cecum in patients who were old and obese and those with previous lower abdominal operations. Angulation, inability to move forward, and tortuous colon were the reasons for inability to reach the cecum. Total 203 polyp samplings were performed in 139 patients. We performed 1, 2, and 3 polypectomies in 97, 28, and 10 patients, respectively. There were 29 (3.3%) colorectal cancers in our series. There was no mortality or morbidity in our study.
Conclusion: General anesthesia and full bowel preparation may be the reason for increased success of colonoscopy. Increased experience and patient-endoscopist cooperation increased the rate of cecum access and polyp resection and decreased the complication rate.

This study was presented at the 20th National Surgical Congress, 13-17 April 2016, Antalya, Turkey.
Cite this paper as: Kozan R, Yılmaz TU, Baştuğral U, Kerimoğlu U, Yavuz Y. Factors affecting successful colonoscopy procedures: single-center experience. Turk J Surg 2017; 10.5152/turkjsurg.2017.3733

Ethics Committee Approval

Authors declared that the research was conducted according to the principles of the World Medical Association Declaration of Helsinki “Ethical Principles for Medical Research Involving Human Subjects” (amended in October 2013).

Peer Review

Externally peer-reviewed.

Author Contributions

Concept - R.K., T.U.Y.; Design - R.K., T.U.Y.; Supervision - R.K.; Resource - U.B., U.K.; Materials - U.K., Y.Y.; Data Collection and/or Processing - R.K., U.B., U.K.; Analysis and/or Interpretation - R.K., T.U.Y.; Literature Search - U.K., U.B.; Writing Manuscript - T.U.Y.; Critical Reviews - Y.Y.

Conflict of Interest

No conflict of interest was declared by the authors.

Financial Disclosure

The authors declared that this study has received no financial support.