Screening Colonoscopy
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Date
2019
Authors
Ray-Offor, E
Abdulkareem, FB
Journal Title
Journal ISSN
Volume Title
Publisher
Gastroenterology Insights
Abstract
tal cancer. The cost of this service, ready
availability and expertise are factors limiting
its routine use in low-/middle-income coun-
tries. The aim was to study premalignant
colonic polyps in asymptomatic middle-aged
Nigerians and highlight the usefulness of
screening colonoscopy in a sub-Saharan
African population.We carried out an obser-
vational study on asymptomatic patients
undergoing screening colonoscopy in a refer-
ral endoscopy facility in Port Harcourt,
Rivers State, Nigeria from January to
December 2018. The variables collated were
demographics, endoscopic and histologic
findings. Statistical analysis was done using
IBM SPSS Statistics for Windows, version 20
Armonk, NY.A total of 144 colonoscopy pro-
cedures were performed during the study
period with 70 asymptomatic cases for
screening indication. Sixty-five were males
and 5 females. The age range was from 48
years to 60 years; mean 54.8 ± 3.6 years. A
polyp-detection rate of 53.7% was recorded
with multiple polyps seen in 13 cases.
Adenoma(s) detected in 19 persons were: 22
tubular adenomas with low grade dysplasia; 3
tubulo-villous adenomas with low grade dys-
plasia; 1 sessile serrated adenoma. The ade-
noma detection rate was 28.8%. No abnor-
mality was detected in 19 cases. There is a
worrisome prevalence of adenomatous
polyps; villous adenoma is rare. A targeted
policy of screening and surveillance by
colonoscopy will curb the rising incidence of colorectal cancer
Description
Keywords
Keywords: Colons, cancers, colonoscopy screening
Citation
Gastroenterology Insights 2019; 10:7987