A comparative analysis of colonoscopy findings in a Chinese and American tertiary hospital

Wang, He; Cai, Qiang; Zhu, Hong Tao; Lv, Nong Hua; Zhu, Xuan

doi:10.5152/tjg.2015.4642

Cited by 3 publications

(5 citation statements)

References 26 publications

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“…Chronic diarrhoea and chronic abdominal pain are two common indications for undergoing colonoscopy in this study whereas, rectal bleeding, chronic diarrhea and chronic abdominal pain were common indication for colonoscopy in other studies by Ngimet al [9], Osinowo A [10], Salamat A [6],Plummer et al [12]. But in the study done in Chinese and American tertiary hospital by Wang et al [14] the commonest indication was screening for colorectal carcinoma. This finding gives a clue that developing country like ours are still focusing on treatment rather than preventive medicine.…”

Section: Discussionmentioning

confidence: 51%

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Clinical Profiles and Endoscopic Findings of Patients Undergoing Colonoscopy in Nobel Medical College

Shrestha¹,

Rajbhandari²,

Chhetri³

et al. 2019

J Nobel Med Coll

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Background: Colonoscopy is an invasive procedure used both diagnostically and therapeutically. Direct visualization and real-time image of entire large colon and distal terminal ileum makes it superior. Patients are unable to undergo colonoscopy because of the limitation in the developing country. Moreover, limited studies are available in our country regarding the colonic diseases. Materials and Methods: It was a descriptive cross-sectional study done in Nobel Medical College Teaching Hospital, Biratnagar, Nepal from January 2018 to December 2018. Approval was acquired from Institutional Review Committee. All patients undergoing colonoscopy in the hospital was included. After taking proper consent, bowel preparation, premedications, colonoscopy was performed, findings noted in pro-forma. Results: Of the total 176 patients 119 (67.60%) were male and 57 (32.40%) were female; mean age 46.98 ± 17.13 years. Indication for performing colonoscopy was chronic diarrhea in 58(33.0%), chronic abdominal pain in 47(26.70%). Significant lesion observed in 142 patients (80.68%); colitis with unspecified etiology in 69 (39.20%), ulcerative colitis in 28 (15.90%), crohn’s disease in 13(7.38%).Colitis was more in male 46(66.67%) and involving rectum was common. Pan-ulcerative colitis was common seen in 11patients (39.28%). Conclusion: Chronic diarrhoea and chronic abdominal pain were two common indications. Male patients were in higher prevalence opting for colonoscopy. Colitis of unspecified etiology of rectum and ileo-cecal region was most common finding. Ulcerative colitis involving whole of colon and younger age group was predominantly affected.

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Section: Discussionmentioning

confidence: 51%

“…Haemorroid was common finding in other studies done in African countries [8,10,12]. In comparative study done in China and USA by Wang H [14] common finding was polyps both in China and USA followed by colitis.In the study done in Rawalpindi [4], inflammatory bowel disease was dominant colonoscopy finding.…”

Section: Discussionmentioning

confidence: 83%

Clinical Profiles and Endoscopic Findings of Patients Undergoing Colonoscopy in Nobel Medical College

Shrestha¹,

Rajbhandari²,

Chhetri³

et al. 2019

J Nobel Med Coll

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show abstract

“…Rectal bleeding, chronic diarrhea and chronic abdominal pain were common indication for colonoscopy in studies by Salamat et al, 8, Ngimet al, 10 Osinowo et al, 13 and Plummer et al, 16 In a study by Wang et al, 17 in a tertiary hospital in America, the commonest indication was screening for colorectal polyp and carcinoma. The most common indication was bleeding per rectum and was observed in 37.9% patients in the study by Dinesh et al, 9 in India.…”

Section: Resultsmentioning

confidence: 96%

“…Similar were the findings in the Nepalese study by Shrestha et al 11 Chronic diarrhea and chronic abdominal pain were two common indications for undergoing colonoscopy in the study by Shrestha et al 11 Unlike the study in America, where screening colonoscopy was the commonest indication , this was the least common indication in our present study. In comparative study done in China and USA by Wang et al 17 common finding were polyps both in China and USA followed by colitis. In the study in Pakistan by Salamat et al, 8 inflammatory bowel disease was dominant colonoscopy finding.…”

Section: Resultsmentioning

confidence: 97%

Clinical Profile and Endoscopic Findings in Patients undergoing Colonoscopy at a Tertiary Care Centre of Central Nepal

Bhattarai

Acharya²

2020

J Coll Med Sci-Nepal

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Background: Colonoscopy is an invasive procedure used for both diagnostic and therapeutic purpose for detection and management of the diseases of rectum, colon, and terminal ileum. This study was undertaken to assess the clinical profile and endoscopic findings in patients undergoing colonoscopy. Methods: One hundred and sixty patients underwent colonoscopy from January 2018 till December 2019. Clinical profile, endoscopy and histological findings were studied from the hospital departmental records. Results: The commonest indications for performing colonoscopy were chronic diarrhea, altered bowel habits, chronic abdominal pain and bleeding per rectum. Colitis of unspecified etiology followed by ulcerative colitis and polyps were the common colonoscopy findings. Colorectal carcinoma were not uncommon. Conclusions: Colonoscopy is the gold standard modality for diagnosis of pathologies of lower gastro intestinal tract and should be an integral part of management. Screening colonoscopy is strongly recommended. Keywords: colitis; colonoscopy; colorectal disease

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“…Comparative study between American and Chinese population showed mean age of Chinese population to be 45 years. (7)The similar change in trend has also been noted in age of CRC in Asian countries versus western world where it is considered to be a disease of old age with onset from 50 to 70 years. While in Pakistan young onset CRC is at rise with mean age of CRC to be 45.…”

Section: Discussionmentioning

confidence: 59%

Rise of Lower GI Complaints in Young Population: 5 Year Detailed Analysis of Colonoscopic Findings Using ASGE Guidelines in Public Center Hospital of Pakistan

Riaz¹,

Ahmed²,

Abbas³

et al. 2021

PJMHS

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Introduction: Colonoscopy gives detail account of lower gastro intestinal tract pathologies. As the procedure is invasive, operator dependent and associated with few complications, clear indication has to be established.Current study was conducted to evaluate detailed account of clinicopathological findings on colonoscopy that will give idea about the prevalent lower gastrointestinal tract disorders, common complaints, correlation between findings and symptoms, age and gender wise distribution of these pathologies among our population. The study will serve as baseline to construct nationwide guidelines for the procedure. Materials & Methods: This retrospective study was carried out at Gastroenterology Department, Pakistan Institute of Medical Sciences from January 2014 to June 2019. All the patients fulfilling the ASGE criterion or having complaints of lower GI tract for more than 2 months underwent colonoscopy. Patients with inadequate preparation or other undergoing therapeutic procedures were excluded from the study. Total 850 patients fulfilling the criterion were included in the study. Data was recorded and analyzed by SPSSv20. Results: Mean age of the patients was 43.02 ± 18.22. Majority (63.9%) of the patients were males. Majority (n=543, 63.9%) of the patients had some finding on colonoscopy. Most common finding on colonoscopy was hemorrhoid followed by ulceration, mass, inflammation and polyps.Most common complaint was per rectum bleed followed by diarrhea, suspected growth on other modalities andsuspected inflammatory bowel disease.Total 540 patients i.e. 63.52% were below age of 50 years.. Trend of pathologies showed ulceration to be most common finding in patients below 50 years followed by hemorrhoids and mass. Conclusion: The results of our finding shows rise of lower GI pathologies in young male population of Pakistan with ulcerative colitis, hemorrhoids and colorectal cancer being top three diseases. This is an alarming situation and we need to take urgent big steps to control it. Keywords: Colonoscopy, Hemorrhoids, Colorectal Cancer, Per Rectal Bleed, Ulceration

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A comparative analysis of colonoscopy findings in a Chinese and American tertiary hospital

Cited by 3 publications

References 26 publications

Clinical Profiles and Endoscopic Findings of Patients Undergoing Colonoscopy in Nobel Medical College

Clinical Profiles and Endoscopic Findings of Patients Undergoing Colonoscopy in Nobel Medical College

Clinical Profile and Endoscopic Findings in Patients undergoing Colonoscopy at a Tertiary Care Centre of Central Nepal

Rise of Lower GI Complaints in Young Population: 5 Year Detailed Analysis of Colonoscopic Findings Using ASGE Guidelines in Public Center Hospital of Pakistan

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