Abstract

CREMERS, M. Isabelle et al. Evolução da prática da colonoscopia num hospital distrital. J Port Gastrenterol. [online]. 2007, vol.14, n.2, pp.54-60. ISSN 0872-8178.

Objective: To characterise the evolution of colonoscopy practice in the Endoscopy Unit of Hospital São Bernardo. Methods: A retrospective study in patients who underwent colonoscopy in 1997 (the year prior to the launch of the Portuguese Society of Digestive Endoscopy’s colorectal cancer screening campaign) and in 2003 (the year the Endoscopy Unit’s new facilities were inaugurated). Data collected included: patient gender, age and geographical origin; whether the procedure was ambulatory or inpatient, routine or emergency, the quality of the bowel prep, whether or not sedation was used, informed consent, indication, extent of the visualization of the colon and final outcome (endoscopic and histological). The indications were also compared with ASGE recommendations. Results: In 1997 and in 2003, 917 and 1207 colonoscopies, respectively, were performed. In 2003, the patients were more often referred from the Gastroenterology Department (60% vs. 40%, in 1997, p < 0.001); a greater number of patients were sedated in 2003 (25% vs. 5%, p < 0.001). In 2003 the patients had better intestinal preparation good quality: 54% vs. 40%, p < 0.001). In addition, a greater number of the colonoscopies were done based on a correct indication according to ASGE (70% vs. 64%, p < 0.01) and fewer patients underwent colonoscopy as inpatients (21% vs. 34%, p < 0.001) and fewer exams were urgent (18% vs. 26%, p < 0.001). The frequency of the screening increased significantly, accounting for 1,3% of exams in 1997 and 8,8% in 2003 (p < 0.001). However, we found no differences in the percentage of total colonoscopies (73% vs. 71% in 1997), normal exams (37% in both years) or the reasons for incomplete colonoscopy. Conclusions: The start of the colorectal screening campaign and changes made in the organization of the Endoscopy Unit, after the inauguration of the new facilities, had a positive impact on colonoscopy practice in the Gastrenterology Department of Hospital São Bernardo.

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