Colonoscopy in central Jamaica: results and implications

West Indian Med J. 2012 Sep;61(6):610-4.

Abstract

The aim of this report was to determine the outcome of all patients subjected to colonoscopy at an outpatient medical facility in central Jamaica. A copy of the colonoscopy report of each consecutive patient during the period March 2007 to April 2011 was entered into a database and analysed. One thousand two hundred and fifty patients were identified with a mean age of 60 years and 56.5% were female. The most common indication for colonoscopy was bleeding (28%) but constipation (15%) and screening (11%) were also important. Caecal intubation was achieved in 96% of the group. While 30% of the group had normal findings, 32% had diverticulosis and 23% had haemorrhoids; importantly 10% had carcinomas and 11% had adenomas. Adenomas were detected in 13% of the screened patients. The most important predictor of an abnormal colonoscopy was a history of bleeding. The perforation rate was 0.24% with no perforations occurring in the latter 650 cases.

MeSH terms

  • Adenoma / complications
  • Adenoma / diagnosis*
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Carcinoma / complications
  • Carcinoma / diagnosis*
  • Child
  • Colonoscopy*
  • Colorectal Neoplasms / complications
  • Colorectal Neoplasms / diagnosis*
  • Constipation / etiology
  • Diverticulum / complications
  • Diverticulum / diagnosis
  • Early Detection of Cancer
  • Female
  • Gastrointestinal Hemorrhage / etiology*
  • Hemorrhoids / complications
  • Hemorrhoids / diagnosis
  • Humans
  • Jamaica
  • Male
  • Middle Aged
  • Rectum
  • Young Adult