Jundishapur Scientific Medical Journal

Jundishapur Scientific Medical Journal

Investigating the Diagnostic Findings of Colonoscopy in Teaching Hospitals of Ahvaz Jundishapur University of Medical Sciences in 2021

Document Type : Original Article

Authors
Seyed Saeed Seyedian 1
Abazar Parsi 2
Fereshteh Javanmardi 3
Abdolhussein Shakurnia 4
Masumeh Khodamoradi 5
1 Associate Professor, Clinical Subspecialty, Gastroenterology and Hepatology, Ahvaz Jundishapur University of Medical Science, Ahvaz , Iran.
2 Assistant Professor, Clinical Subspecialty, Gastroenterology and Pepatology, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.
3 Assistant Professo, Medical Specialist, Family Medicine, Ahvaz Jundishapur University of Medical Science. Ahvaz, Iran.
4 Assistant Professor, Masters Degree, Medical Immunology, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.
5 Medical student, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran
10.32592/JSMJ.23.3.255
Abstract
Background and Objectives Today, colonoscopy is used as a tool for early diagnosis of important gastrointestinal findings such as colorectal cancer. The present study was conducted to investigate and analyze the diagnostic findings of patients undergoing colonoscopy in the teaching hospitals of Ahvaz Jundishapur University of Medical Sciences (AJUMS) in Ahvaz in 2021.
Subjects and Methods A cross-sectional descriptive study was conducted on the medical records of all patients referred to the colonoscopy departments of Imam Khomeini and Golestan hospitals, affiliated with AJUMS, in 2021. After applying exclusion criteria, 1526 cases were included in the analysis. Data on demographics, patient symptoms, and laboratory and diagnostic findings were collected using a dedicated questionnaire.
Results A cohort of 1526 patients was studied, with 54.1% being male and 45.9% female. Their ages ranged from 14 to 97 years, with a mean age of 51.77 years. Rectal bleeding (32.3%) and abdominal pain (23.6%) were the primary reasons for colonoscopy. Hemorrhoids (25.5%) and polyps (12.5%) were the most common findings, while single rectal ulcer (2.3%) and anal fissure (2.7%) were least frequent. Patients aged 45 years and older constituted a higher proportion of referrals and exhibited a greater frequency of abnormal colonoscopic results. Although colorectal cancer was more prevalent in males (56.6% versus 43.4% in females), this difference did not reach statistical significance (p=0.881).
Conclusion The most common causes of colonoscopy were rectal bleeding and abdominal pain, and the most pathological findings in these patients were hemorrhoids and polyps. The frequency of polyps and colorectal cancer was significantly higher in age groups above 45 years. Therefore, colonoscopy seems to be a suitable diagnostic tool for this age group.
Keywords
Colonoscopy
Colorectal cancer
Rectal bleeding
Solitary rectal ulcer
Ahvaz Jundishapur University of Medical Sciences
Subjects

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Jundishapur Scientific Medical Journal
Volume 23, Issue 3 - Serial Number 150
July and August 2024
Pages 255-263

  • Receive Date 12 March 2024
  • Revise Date 01 May 2024
  • Accept Date 11 May 2024