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CC BY 4.0 · Journal of Coloproctology 2024; 44(S 01): S1-S138
DOI: 10.1055/s-0045-1808780
Enteroscopia, Colonoscopia e Pólipos
Enteroscopy, Colonoscopy, and Polyps
ID – 141763
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ENDOSCOPIC FINDINGS IN A CONSECUTIVE SERIES OF PATIENTS UNDERGOING COLONOSCOPY

Luis Felipe Mendonca de Oliveira
1   Universidade de Brasília, Brasilia, Brazil
,
Catarina Ferreira Costa Praia
1   Universidade de Brasília, Brasilia, Brazil
,
Rafaela de Melo Sprogis
1   Universidade de Brasília, Brasilia, Brazil
,
Pedro dos Anjos Freixo
1   Universidade de Brasília, Brasilia, Brazil
,
Flávia Berford Leão dos Santos Gonçalves de Oliveira
2   Hospital Universitário de Brasília, Brasília, Brazil
,
Camila Oliveira Barbosa
2   Hospital Universitário de Brasília, Brasília, Brazil
,
Wilmar Junio Pereira Araújo
2   Hospital Universitário de Brasília, Brasília, Brazil
,
João Batista de Sousa
1   Universidade de Brasília, Brasilia, Brazil
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    Introduction Colonoscopy is an essential procedure for the surveillance, therapeutic management, screening, and diagnosis of diseases of the colon and rectum. An adequate bowel preparation is crucial for performing the procedure, which can be done either in a hospital setting or at home.

    Objective To describe the epidemiological profile, preparation, and findings of patients who underwent colonoscopy at a reference coloproctology service throughout 2023.

    Methods A total of 1,194 colonoscopy reports conducted between January and December 2023 at a reference hospital with a coloproctology residency program were analyzed. The following variables were studied: age, gender, indication for the exam, preparation assessment, and exam findings.

    Results During this period, 1,194 colonoscopies were performed. The average age of the patients was 56.3 years, with a minimum of 16 years and a maximum of 87 years. Of the total patients, 801 (67%) were women, and 393 (33%) were men. Regarding the indication for the exam, 54.4% (649) were diagnostic in patients with symptoms, 23.9% (286) for screening, 19.93% (238) for surveillance, 1.5% (18) for therapeutic purposes, and 0.2% (3) for tattooing. Regarding the preparation assessment, using the Aronchick scale, 700 (58.62%) were classified as good, 247 (20.68%) as fair, 177 (14.82%) as poor or insufficient, and 70 (5.86%) were not reported. The exams were considered normal in 34.42% of the cases. Among the abnormal findings, the most frequent were polyps (27.38%), followed by diverticulosis (20.26%), infiltrative lesions (8.7%), and inflammatory signs (6.28%).

    Conclusion The high number of findings in screening or surveillance exams is noteworthy. Of the exams performed for these purposes, 43.9% were for screening or surveillance, but only 34.42% of all exams were normal. The high rate of poor or inadequate preparation (14.82%) may be attributed to the fact that, in this public hospital, bowel preparation was conducted at home.


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    No conflict of interest has been declared by the author(s).

    Publication History

    Article published online:
    25 April 2025

    © 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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