Jsmc-10326

POLYP AND ADENOMA DETECTION RATE AND EVALUATION OF DIFFERENT POLYP RETRIEVAL METHODS IN PATIENTS UNDERGOING COLONOSCOPY IN KURDISTAN CENTER FOR GASTROENTEROLOGY AND HEPATOLOGY/SULAIMANI CITY (KCGH)

Sarkawt Raouf M. Ameen a, Muhsin Abubakr Mohammed a, Mohammed Alshaikhani b, Mohammed Omer Mohammed b, Taha Ahmed Al-Karbuly b, Dana Taib Gharib a, and Araz Latif a 

a  Directorate of Health, Ministry of Health, Kurdistan Region, Iraq.

b College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

Submitted: 15/11/2020; Accepted: 28/6/2021; Published: 21/12/2021

DOI Link: https://doi.org/10.17656/jsmc.10326 

ABSTRACT 

Background 

Colorectal carcinoma is a common malignancy in Sulaimani city. Thousands of colonoscopies are conducted yearly for screening and diagnosis of colorectal pathologies, especially colorectal polyps and colorectal carcinoma. High-quality colonoscopy is the key to its success in detecting colorectal lesions like polyps, cancers. 

Objectives 

To assess the polyp detection rate, the adenoma detection rate and evaluate different polyp retrieval methods in patients undergoing colonoscopy in Sulaimani city

Patients and Methods

A clinical perspective follows up a study conducted in Kurdistan centre of Gastroenterology and Hepatology (KCGH) in Sulaimani city-Kurdistan region/ Iraq for one year from 1st November 2019 to 31st October 2020 on 2000 patients undergoing colonoscopy. All the patients were examined and diagnosed by the researcher.  

Results

The polyp detection rate among patients undergoing colonoscopy was (34%), while the adenoma detection rate among patients undergoing colonoscopy was (22.1%); ADR was 22.7% for males and 21.3% for females. The mean age of patients who had polyps was significantly higher than those who had no polyps (p<0.001). The mean age of patients with adenomatous polyps was significantly higher than the mean age of patients with non-adenomatous polyps (p<0.001). The polyp retrieval rate was (92%). There was a significant association between failure in polyps’ retrieval and diminutive polyps’ size (p=0.01). 

Conclusion

The polyp detection rate and adenoma detection rate in this study were consistent with the international rate. The polyp retrieval rate is within the acceptable international rate, although retrieval methods varied according to the size and location of the polyps.

KEYWORDS

Colorectal carcinoma, Colonoscopy, Polyps, Adenoma.

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