Suissa A, Bentur O S, Lachter J, Yassin K, Chermesh I, Gralnek I, Karban A, Khamaysi I, Naveh Y, Tamir A, Shahbari A, Eliakim R
Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.
Diagn Ther Endosc. 2012;2012:612542. doi: 10.1155/2012/612542. Epub 2012 Jun 19.
Background. Colonoscopy for screening the population at an average risk of colorectal cancer (CRC) is recommended by many leading gastrointestinal associations. Objectives. The objective was to assess the quality, complications and acceptance rate of colonoscopy by patients. Methods. We prospectively gathered data from colonoscopies which were performed between October 2003 and September 2006. Patients were asked to return a follow-up form seven days after the procedure. Those who failed to do so were contacted by phone. Results. 6584 patients were included (50.4% males). The average age of subjects was 57.73 (SD 15.22). CRC screening was the main indication in 12.8%. Cecal intubation was achieved in 92% of patients and bowel preparation was good to excellent in 76.2%. The immediate outcome after colonoscopy was good in 99.4%. Perforations occurred in 3 cases-1 in every 2200 colonoscopies. Significant bleeding occurred in 3 cases (treated conservatively). 94.2% of patients agreed to undergo repeat colonoscopy in the future if indicated. Conclusions. The good quality of examinations, coupled with the low risk for complications and the good acceptance by the patients, encourages us to recommend colonoscopy as a primary screening test for CRC in Israel.
背景。许多主要的胃肠病学协会都推荐使用结肠镜检查对患结直肠癌（CRC）平均风险的人群进行筛查。目的。目的是评估结肠镜检查的质量、并发症及患者的接受率。方法。我们前瞻性收集了2003年10月至2006年9月期间进行的结肠镜检查数据。要求患者在检查后7天返回一份随访表格。未返回的患者通过电话联系。结果。纳入6584例患者（50.4%为男性）。受试者的平均年龄为57.73（标准差15.22）。CRC筛查是12.8%患者的主要检查指征。92%的患者完成了盲肠插管，76.2%的患者肠道准备良好至极佳。结肠镜检查后的即时结果良好率为99.4%。发生3例穿孔——每2200例结肠镜检查中有1例。发生3例严重出血（保守治疗）。94.2%的患者表示如果有指征，未来愿意接受再次结肠镜检查。结论。检查质量良好，并发症风险低，患者接受度高，促使我们推荐结肠镜检查作为以色列CRC的主要筛查试验。
