Quality of colonoscopy and adenoma detection rate in patients at Singburi hospital Natdanai Sukuma

Abstract

Colonoscopy is used for the diagnosis and treatment of colon disease. Colonoscopy is generally safe, accurate. Optimal effectiveness of colonoscopy depends on patient acceptance of the procedure, which depends on acceptance of the bowel preparation, procedure duration. Meticulous inspection and longer withdrawal times are associated with higher adenoma detection rates (ADR). Objective: To study of quality of colonoscope and adenoma detection rate Method: A total of 265 patients underwent colonoscopy between January 2018 and September 2020 in Singburi Hospital and data were recorded, calculated by chi square test

Result: Quality of colonoscopy in Singburi Hospital Which indicators consist of Bowel preparation, Cecum/terminal ileum access, Withdrawal time and the detection of abnormal polyps. The study found that Bowel preparation and adenoma detection rate (ADR) are standard. But cecal intubation rate still has less than standard. In this way, researcher calculated the factors that could make cecal intubation more effective. Pain control medication and/or anesthesia by sedative agent are improvement. Time to withdrawal colonoscope, there are many factors that influence these factors. Further studies on the factors affecting the withdrawal time of less than 6 minutes may be require Conclusion: The ADR should be calculated for each endoscopist based on data from screening examinations. If ADR is lower than the benchmark of 25%, quality improvement efforts are needed. Endoscopists should aim to achieve cecal intubation rates of 90-95%. Techniques for mucosal examination with a focus on mean withdrawal time should be assessed. The quality of bowel preparation in practice should also be determined and optimized.