尼日利亚卡诺阿米努·卡诺教学医院结肠镜检查十年回顾。

A 10-year review of colonoscopy at aminu kano teaching hospital, Kano Nigeria.

机构信息

Department of Internal Medicine, Federal Medical Centre Katsina, Katsina State, Nigeria.

Department of Internal Medicine, Bayero University/Aminu Kano Teaching Hospital, Kano, Nigeria.

出版信息

Niger J Clin Pract. 2021 Jul;24(7):1072-1076. doi: 10.4103/njcp.njcp_497_20.

DOI:10.4103/njcp.njcp_497_20

PMID:34290185

Abstract

BACKGROUND

Colonoscopy is an investigation modality used for colorectal examination; it is the most accurate technique for the diagnosis and surveillance of important colorectal diseases such as cancers (colorectal cancer) and polyps. Aims: Most studies on colonoscopy in Nigeria were conducted in southwest such as Ilorin, Ife, Ibadan, and Lagos. We therefore feel the need to get information from other regions such as northwest, the area of this study. The aim of this study was to identify the common indications as well as colonoscopic findings among patients who had colonoscopy in Aminu Kano Teaching Hospital, Kano.

METHODOLOGY

It was a 10-year retrospective descriptive study of patients who had colonoscopy between January 2008 and December 2017 at the study center. Colonoscopy register was used to extract information concerning the patient's age, gender, symptoms that necessitated the request for the procedure, and the endoscopic findings.

RESULTS

A total of 839 patient records were reviewed, males constituted 62.2% of the patients. The mean age ± standard deviation was 43.86 ± 18.36 years, with a range of 8-96 years. The 30-39 years constituted the modal age group, followed by 40-49 years and 50-59 years. The commonest indications for the procedure were rectal bleeding (52.4%), chronic abdominal pain (51.3%), and diarrhea (48.8%). The cecal intubation rate was 98.2% with hemorrhoids as the commonest finding (42.3%) followed by suspected inflammatory bowel disease lesions (18.1%) and suspected colorectal tumors (16.2%).

CONCLUSION

The commonest reason for colonoscopy was rectal bleeding while the commonest colonoscopic finding was hemorrhoids.

摘要

背景

结肠镜检查是一种用于结直肠检查的检查方法；它是诊断和监测结直肠重要疾病（如癌症和息肉）的最准确技术。目的：大多数在尼日利亚进行的结肠镜检查研究都是在西南部进行的，如伊洛林、伊费、伊巴丹和拉各斯。因此，我们觉得有必要从其他地区（如研究区域西北区）获取信息。本研究的目的是确定在卡诺教学医院进行结肠镜检查的患者的常见指征和结肠镜检查结果。

方法

这是一项对 2008 年 1 月至 2017 年 12 月在研究中心进行结肠镜检查的患者进行的 10 年回顾性描述性研究。使用结肠镜检查登记册提取有关患者年龄、性别、需要进行该程序的症状以及内镜检查结果的信息。

结果

共回顾了 839 份患者记录，男性占患者的 62.2%。平均年龄±标准差为 43.86±18.36 岁，范围为 8-96 岁。30-39 岁构成模态年龄组，其次是 40-49 岁和 50-59 岁。该程序的最常见指征是直肠出血（52.4%）、慢性腹痛（51.3%）和腹泻（48.8%）。盲肠插管率为 98.2%，最常见的发现是痔疮（42.3%），其次是疑似炎症性肠病病变（18.1%）和疑似结直肠肿瘤（16.2%）。