Browsing by Author "Dessie, Addis"

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    Trend Analysis of Adult Colonoscopy Evaluation Outcomes in Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia (A 4 - year retrospective analysis)
    (Addis Abeba University, 2020-12) Dessie, Addis; Dr. Erkie, Mengistu (MD, Consultant Internist Gastroenterologist & Hepatologist); Dr. B/Tsion, Yonas(MD, Consultant pathologist )
    Background: Colonoscopy procedure is an accepted modality for the evaluation of colonic diseases. It performed for both diagnostic and therapeutic indications. Centers performing colonoscopy in the developing world is being limited for reasons of lack of adequate man power training, better equipment supply and improved knowledge of patients to seek care in addition to a shift in the increasing trend of gastrointestinal malignancies. Reports on the practice trend of endoscopy in general and colonoscopy in particular, in Ethiopia are limited and most are older studies. Objective: The main objective of the study was to analyze colonoscopy indications and outcomes at GI Unit, Tikur Anbessa Specialized University Hospital, Addis Ababa, Ethiopia. Patients and Methods: This was Institution based retrospective cross sectional study conducted at Tikur Anbessa Specialized Hospital GI Unit on 659 patients undergone colonoscopy evaluation from September 2016 to August 2020. Results: The mean age of patients in the study was 45.5 years with SD ±16.4. Majority of patients were from Addis Ababa. Rectal bleeding (28.8%) was major indication for colonoscopy. Most of the colonoscopies done after excellent and good preparation (85%). Cecal intubation rate was 85% and had statistically significant association with degree of bowel preparation. The main reason for failed intubation of the cecum was mass (42.6%). Normal and mass were found in 37.2% and 14.4 % of colonoscopies respectively. 86.4% of histologic diagnosis were colonic adenocarcinoma and most (77.8%) found in rectosigmiod and descending colon area. There were significant number of reports of nonspecific inflammation. Conclusions: The common indication for colonoscopy was rectal bleeding and majority of adenocarcinomas were on the left side of the colon. Mass lesion was the common reason of failed cecal intubation. There were significant number of reports of nonspecific inflammation.