Background: To evaluate the appropriateness of colonoscopy for various common indications observed in day to day outpatient and inpatient general surgical practice as per criteria devised by expert panel of EPAGE 2.Methods: Appropriateness score for indication of colonoscopy was calculated from EPAGE official website and the colonoscopy findings were verified against appropriateness score. The effect of various parameters like age, sex, duration of symptoms and referring doctor individually on both EPAGE score as well as colonoscopy results was verified.Results: In our study, we found that only age of patient statistically affects EPAGE score. We also found that there is correlation between EPAGE score and colonoscopy results.Conclusions: As age of patient increases likelihood of getting a significant EPAGE score increases while other parameters like sex, duration of symptoms, referring physicians did not affect EPAGE score in our study. The probability of getting positive findings on colonoscopy increases if the indication of colonoscopy is proved appropriate by EPAGE. All other parameters did not affect the colonoscopy findings in our study.

Intussusception is a common finding in children accounting for approximately 25% of all abdominal emergencies in patients below five years of age. This, however, is a rare observation in adults accounting for only 5% of all intussusceptions. Among them, those leading to acute intestinal obstruction are about 1-5%. Diagnosis is based on radiographic findings seen on ultrasonography or CT scan as the presentation in adults is often difficult to diagnose clinically due to the variable presentation. We present here a case of intussusception in a 24 year old male presenting as acute intestinal obstruction. Exploratory laparotomy with resection of the bowel segment was done followed by end to end anastomosis. Post-operative course was uneventful.