We have located links that may give you full text access.
Evaluation Study
Journal Article
Multicenter Study
Colonoscopies in Portuguese district hospitals: a multicentric transverse study.
Digestive and Liver Disease 2006 December
OBJECTIVE: To characterise the colonoscopies performed in the Portuguese District Hospitals.
METHODS: Transverse study conducted between 7 and 18 March 2005 amongst the 33 District Hospitals throughout Portugal. Data collected included the following: gender, age, geographical origin, ambulatory or hospitalised, routine or emergency, type of preparation, sedation practice (if any), informed consent, indication, extent of the visualisation of the colon and final result (endoscopic and histological).
RESULTS: Thirty-one of the 33 District Hospitals (94%) sent the reports of colonoscopies and biopsies performed during the aforementioned period, resulting in 1245 colonoscopies. The majority of colonoscopies were ambulatory (80.7%); in 12 centres informed consent was obtained. The main indications were the following: polipectomy (20%), haematochezia (15%) and polyp follow-up (10%), whereas screening for colorectal cancer was the sixth most frequent indication. Sedation was administered in 24.5% of procedures. Colonoscopies were complete in 69.6% of cases. The main reasons for incomplete colonoscopies were poor bowel preparation, patient discomfort or technical difficulty. Colonoscopies were normal in 36% of cases; 40.3% had polyps, 16.4% had diverticulosis, 4.8% had colorectal cancer, 3.5% had inflammatory bowel disease and 1.1% had angiodisplasias.
CONCLUSION: There was a high interest in participating in this study by Endoscopy Units in Portuguese District Hospitals. There is a low number of units using informed consent, which is mandatory by law, and this should be corrected. There is a need to increase sedation practice and to find better ways for preparing the colon, in order to achieve a higher percentage of complete colonoscopies and of polypectomies. The numbers of polyps detected and of colorectal cancers diagnosed confirm the importance of screening for colorectal cancer.
METHODS: Transverse study conducted between 7 and 18 March 2005 amongst the 33 District Hospitals throughout Portugal. Data collected included the following: gender, age, geographical origin, ambulatory or hospitalised, routine or emergency, type of preparation, sedation practice (if any), informed consent, indication, extent of the visualisation of the colon and final result (endoscopic and histological).
RESULTS: Thirty-one of the 33 District Hospitals (94%) sent the reports of colonoscopies and biopsies performed during the aforementioned period, resulting in 1245 colonoscopies. The majority of colonoscopies were ambulatory (80.7%); in 12 centres informed consent was obtained. The main indications were the following: polipectomy (20%), haematochezia (15%) and polyp follow-up (10%), whereas screening for colorectal cancer was the sixth most frequent indication. Sedation was administered in 24.5% of procedures. Colonoscopies were complete in 69.6% of cases. The main reasons for incomplete colonoscopies were poor bowel preparation, patient discomfort or technical difficulty. Colonoscopies were normal in 36% of cases; 40.3% had polyps, 16.4% had diverticulosis, 4.8% had colorectal cancer, 3.5% had inflammatory bowel disease and 1.1% had angiodisplasias.
CONCLUSION: There was a high interest in participating in this study by Endoscopy Units in Portuguese District Hospitals. There is a low number of units using informed consent, which is mandatory by law, and this should be corrected. There is a need to increase sedation practice and to find better ways for preparing the colon, in order to achieve a higher percentage of complete colonoscopies and of polypectomies. The numbers of polyps detected and of colorectal cancers diagnosed confirm the importance of screening for colorectal cancer.
Full text links
Related Resources
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app