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Colonoscopy in Central Jamaica: results and implications / La colonoscopía en Jamaica Central: resultados e implicaciones
Plummer, JM; Mitchell, DI; Ferron-Boothe, D; Meeks-Aitken, N; Reid, M.
  • Plummer, JM; Faculty of Medical Sciences. Department of Surgery, Radiology, Anaesthesia and Intensive Care.
  • Mitchell, DI; Faculty of Medical Sciences. Department of Surgery, Radiology, Anaesthesia and Intensive Care.
  • Ferron-Boothe, D; Faculty of Medical Sciences. Department of Surgery, Radiology, Anaesthesia and Intensive Care.
  • Meeks-Aitken, N; Faculty of Medical Sciences. Department of Surgery, Radiology, Anaesthesia and Intensive Care.
  • Reid, M; Faculty of Medical Sciences. Department of Surgery, Radiology, Anaesthesia and Intensive Care.
West Indian med. j ; 61(6): 610-614, Sept. 2012. graf, tab
Article in English | LILACS | ID: lil-672966
ABSTRACT
The aim of this report was to determine the outcome of all patients subjected to colonoscopy at an outpatient medical facility in central Jamaica. A copy of the colonoscopy report of each consecutive patient during the period March 2007 to April 2011 was entered into a database and analysed. One thousand two hundred and fifty patients were identified with a mean age of 60 years and 56.5% were female. The most common indication for colonoscopy was bleeding (28%) but constipation (15%) and screening (11%) were also important. Caecal intubation was achieved in 96% of the group. While 30% of the group had normal findings, 32% had diverticulosis and 23% had haemorrhoids; importantly 10% had carcinomas and 11 % had adenomas. Adenomas were detected in 13% of the screened patients. The most important predictor ofan abnormal colonoscopy was a history ofbleeding. The perforation rate was 0.24% with no perforations occurring in the latter 650 cases.
RESUMEN
El objetivo de este reporte fue determinar la evolución clínica de todos los pacientes sometidos a colonoscopía en una clínica de consulta externa en Jamaica central. Una copia del reporte de la colonoscopía de cada paciente consecutivo durante el periodo de marzo de 2007 a abril de 2011 fue introducida en la base de datos, y luego analizada. Se identificaron un total de mil doscientos cincuenta pacientes con edad promedio de 60 años, de los cuales 56.5% eran hembras. La indicación más común para la colonoscopía fue el sangramiento (28%) pero el estreñimiento (15%) y el tamizaje (11%) fueron también importantes. La intubación cecal se logró en el 96% del grupo. Mientras que el 30% del grupo tuvo resultados normales, el 32% presentó diverticulosis y el 23% tenia hemorroides. Aún más importante 10% tenían carcinomas y 11% tenían adenomas. Se detectaron adenomas en 13% de los pacientes tamizados. El predictor más importante de una colonoscopía anormal fue una historia de sangramiento. La tasa de perforación fue 0.24% sin que se presentaran perforaciones en los últimos 650 casos.
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Carcinoma / Colorectal Neoplasms / Adenoma / Colonoscopy / Gastrointestinal Hemorrhage Type of study: Diagnostic study / Etiology study / Prognostic study / Screening study Limits: Adolescent / Adult / Aged / Aged80 / Child / Female / Humans / Male Country/Region as subject: English Caribbean / Jamaica Language: English Journal: West Indian med. j Journal subject: Medicine Year: 2012 Type: Article Affiliation country: Jamaica

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Full text: Available Index: LILACS (Americas) Main subject: Carcinoma / Colorectal Neoplasms / Adenoma / Colonoscopy / Gastrointestinal Hemorrhage Type of study: Diagnostic study / Etiology study / Prognostic study / Screening study Limits: Adolescent / Adult / Aged / Aged80 / Child / Female / Humans / Male Country/Region as subject: English Caribbean / Jamaica Language: English Journal: West Indian med. j Journal subject: Medicine Year: 2012 Type: Article Affiliation country: Jamaica