Appropriateness of colonoscopy in Cocody teaching hospital center in 2010: A prospective study using criteria established by the European panel on the appropriateness of gastrointestinal endoscopy (EPAGE)

Abstract

Aims: 1) To assess the feasibility of EPAGE criteria in clinical practice; 2) To assess appropriateness colonoscopy using EPAGE criteria; 3) To compare colonoscopy appropriateness and endoscopic lesions. Method: Hundred thirty-nine consecutive patients explored by colonoscopy were included. The appropriateness of colonoscopy was evaluated by EPAGE criteria. Results: EPAGE criteria were applicable among 127 patients (91% of the cases). Colonoscopies were appropriate, uncertain and inappropriate in respectively 40%; 27% and 24% of the cases. Rate of abnormal colonoscopies was significantly different between the 3 groups (p = 0.03). Cancers were diagnosed exclusively in the groups with appropriate and uncertain colonoscopies (11% and 5%). Colonic adenomas were observed in the three groups (appropriate (7%), uncertain (5%) and inappropriate (6%)). Subjects with uncertain indication were older (58.25 years; p = 0.035). Conclusion: EPAGE criteria are feasible in clinical practice in Cocody's teaching hospital center. Colonoscopies are generally appropriate in our hospital. However, within sight of the significant number of normal colonoscopies and discovered lesions in uncertain indication, colonoscopy cannot concern exclusively calculation of a score of appropriateness.

“Appropriateness of colonoscopy according to EPAGE II in a low resource setting: a cross sectional study from Sri Lanka”

“…Studies from all over the world have reported percentages within the range of for appropriateness of colonoscopy. Highest reported thus far according to EPAGE II evaluation is 80.4% [ 14 ], while the lowest (26%) is recorded from a multi-country study which involved 21 endoscopy centers from 11 countries [ 15 ]. One study from Ivory Coast, Africa found out an appropriateness percentage to be 40% [ 16 ], which is below our finding.…”

Colonic Diverticulosis at Colonoscopy in Africa: A Systematic Review and Meta-Analysis of Pooled Estimates

“…In recent years, many African countries are experiencing urbanization with adoption of Western diet associated with low residue. There is increasing availability of modern diagnostic investigations tools (e.g., colonoscopy) for accurate detection rate of colorectal diseases [7‒35]. Since there are common risk factors shared by colonic diverticulosis and colorectal neoplasia, there may also be a similar epidemiological trend of rising prevalence of diverticular disease as noted for colorectal cancer in some countries in Africa [9, 18, 19, 36‒38].…”

Formulation de microparticules par gélification ionique à base de poudre d’écorce de Landolphia owariensis (Apocynacées) pour la prise en charge de la crise hémorroïdaire

“…La maladie hémorroïdaire est une affection très fréquente des veines anales matérialisée par une dilatation des veines autour de l'anus ou du rectum et constitue de nos jours une cause plus fréquente de plaintes anales de consultation en Médecine générale. [1][2][3][4] , avec une prévalence qui varie entre 4,4% et 86% [4][5][6][7] .Il existe une thérapeutique bien définie. Cependant dans notre pays, il a été constaté depuis belle lurette, que le traitement des crises hémorroïdaires a été du ressort de la médecine traditionnelle [8].…”