Polyp and Adenoma Detection Rate in the Real Life, Preliminary Results

AAims Fecal blood testing is the modality for colorectal cancer screening adopted in Israel, only part of colonoscopies are done for screening. Our purpose was to determine the polyp detection rate (PDR) and adenoma detection rate (ADR) in the real-life practice.

Methods Retrospective study included all consecutive colonoscopies in a single center in southern Israel in 2019. Colonoscopy and pathology reports were reviewed for demographic, clinical and endoscopic finding in all included colonoscopies.

Results We included 1,145 patients, underwent 1293 colonoscopies. Mean age 59±14.1, 567 (49.5 %) male, 113 (11.6 %) Bedouin patients. The most common indication for colonoscopy were: positive fecal occult blood test 205 (17.9 %), post polypectomy surveillance 159 (13.9 %), family history of colorectal cancer 139 (12.1 %) abdominal pain 132 (11.5 %), anemia 87 (7.6 %) and rectal bleeding 80 (7 %). The main findings in the colonoscopies included in our preliminary results are: normal colonoscopy 451 (34.8 %), polyp of colon 448 (34.6), colorectal cancer 22 (1.7 %), diverticulosis 106 (8.2 %), hemorrhoid 266 (20.6 %) and poor preparation 158 (12.2 %). Polyps were found in 448 (39.5 %) of the 1135 colonoscopies (after exclusion of colonoscopies with poor preparation) and in 363 (32 %) colonoscopies adenoma were detected. 114 (25.4 %) of the polyps were ≥10 mm and 302 (67.4 %) were tubular adenoma with low grade dysplasia. The advanced adenoma rate was 130 (11.4 %) of the included colonoscopies.

Conclusions Polyp detection rate of 39.5 % and adenoma detection rate of 32 % were found in the real-life setting

Citation: Abu Freha N, Abu Tailakh M, Abu-Freha O et al. eP208 POLYP AND ADENOMA DETECTION RATE IN THE REAL LIFE, PRELIMINARY RESULTS. Endoscopy 2021; 53: S166.

Publication History

Article published online:
19 March 2021