Endoscopy 2020; 52(S 01): S180
DOI: 10.1055/s-0040-1704559
ESGE Days 2020 ePoster Podium presentations
Friday, April 24, 2020 11:30 – 12:00 Lower GI bleeding 2 ePoster Podium 7
© Georg Thieme Verlag KG Stuttgart · New York

PERFORMANCE MEASURES FOR EMERGENCY LOWER GASTROINTESTINAL ENDOSCOPY

D Popovic
1   Clinic for Gastroenterology and Hepatology, University of Belgrade Medical School, Belgrade, Serbia
,
I Lolic
1   Department of Urgent Gastroenterology and Hepatology, Clinical Center of Serbia, Belgrade, Serbia
,
T Glišić
1   Department of Urgent Gastroenterology and Hepatology, Clinic for Gastroenterology and Hepatology, University of Belgrade Medical School, Belgrade, Serbia
,
I Ranković
1   Department of Urgent Gastroenterology and Hepatology, Clinic for Gastroenterology and Hepatology, Belgrade, Serbia
,
V Milivojević
1   Department of Urgent Gastroenterology and Hepatology, Clinic for Gastroenterology and Hepatology, University of Belgrade Medical School, Belgrade, Serbia
,
VM Zarić
1   Department of Urgent Gastroenterology and Hepatology, Clinical Center of Serbia, Belgrade, Serbia
,
N Jocić
1   Department of Urgent Gastroenterology and Hepatology, Clinical Center of Serbia, Belgrade, Serbia
,
O Matejic
1   Department of Urgent Gastroenterology and Hepatology, Clinic for Gastroenterology and Hepatology, Belgrade, Serbia
,
D Tomić
1   Department of Urgent Gastroenterology and Hepatology, Clinic for Gastroenterology and Hepatology, University of Belgrade Medical School, Belgrade, Serbia
,
D Popovic
1   Clinic for Gastroenterology and Hepatology, University of Belgrade Medical School, Belgrade, Serbia
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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    Aims The aim of this paper was to evaluate the performance measures of emergency colonoscopy.

    Methods A retrospective cross-sectional study, that involved patients undergoing emergency colonoscopy at the Department of Emergency Gastroenterology, Clinical Center of Serbia was performed, for a period of two years. Data were obtained on the basis of medical records. Descriptive statistics methods were used. Continuous variables were presented as mean ± standard deviation. Discontinuous variables were presented as frequencies (percentages).

    Results The study included 197 patients, mean age 61.5 ± 15.2, ranging from 22 to 90 years. Of the total number of patients, 62.9% (n = 124) were men. The most common indication for colonoscopy was rectal bleeding, which was present in 31.0% (n = 61). Adequate bowel preparation for the examination had 67.5% (n=135) patients. Cecum intubation was achieved in 65% (n=130) patients. The polyp detection rate was 37.7%, while the adenoma detection rate was 22.5%, for patients ≥ 50 years of age. For all total colonoscopies, the endoscope extraction time was > 6 minutes.

    Conclusions During the emergency colonoscopy, the lower percentage of adequate bowel preparation, cecum intubation and lower detection rate of polyps and adenomas was achieved. The lower performance measures are most likely due to the patient´s general condition, primarily comorbidity, as well as the specificity of the emergency colonoscopy itself.


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