Indications and Outcome of Colonoscopy in the Middle of Nile Delta of Egypt

Elbatea, Hasan ElSayed; Enaba, Mohamed; Elkassas, Galal; El-Kalla, Ferial; Elfert, Asem

doi:10.1007/s10620-010-1538-1

Cited by 31 publications

(41 citation statements)

References 9 publications

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“…This confirms that inflammatory bowel disease IBD is still rare in Nigeria with few reports of sporadic cases [18,19]. However, in Nile Delta, Egypt, IBD has been reported in 25% of cases, haemorrhoids 18% and diverticulosis 2% [11]. Surprisingly, diverticular disease, which is more common to western population attributable to a low residue diet pattern, was the 3rd leading pathology recorded in our metropolitan study.…”

Section: Discussionsupporting

confidence: 77%

“…Some studies from different parts of Nigeria have reported diagnostic yield between 70% to 80% [9,10]. In Egypt and Iran, reports of 72% and 65% diagnostic yield respectively have been recorded for colonoscopy [11,12]. Across Europe, significant pathologies (cancer, adenomatous polyps, angiodysplasia, and new diagnoses of inflammatory bowel disease) is reported in 25% of colonoscopies [13].…”

Section: Discussionmentioning

confidence: 99%

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Diagnostic Yield of Colonoscopy

Ray-Offor¹,

Ibeanusi²

2018

J Clin Gastroenterol Hepatol

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Diagnostic Yield of Colonoscopy

Ray-Offor¹,

Ibeanusi²

2018

J Clin Gastroenterol Hepatol

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“…30–33 To date, this finding has not been tied to race. However, we found that non-Caucasian participants had a 26% lower risk than Caucasians even after adjustment for risk factors.…”

Section: Discussionmentioning

confidence: 94%

Constipation and a Low-Fiber Diet Are Not Associated With Diverticulosis

Peery

Sandler

Ahnen

et al. 2013

Clinical Gastroenterology and Hepatology

123

105

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Background & Aims Asymptomatic diverticulosis is commonly attributed to constipation secondary to a low-fiber diet, although evidence for this mechanism is limited. We examined the associations between constipation and low dietary fiber intake with risk of asymptomatic diverticulosis. Methods We performed a cross sectional study, analyzing data from 539 individuals with diverticulosis and 1569 without (controls). Participants underwent colonoscopy and assessment of diet, physical activity and bowel habits. Our analysis was limited our analysis to participants with no knowledge of their diverticular disease, to reduce the risk of biased responses. Results Constipation was not associated with an increased risk of diverticulosis. Participants with less frequent bowel movements (BM: <7/wk) had reduced odds of diverticulosis compared to those with regular (7/wk) BM (odds ratio [OR] 0.56, 95% confidence interval [CI], 0.40–0.80). Those reporting hard stools also had a reduced odds (OR, 0.75; 95% CI, 0.55–1.02). There was no association between diverticulosis and straining (OR, 0.85; 95% CI, 0.59–1.22) or incomplete BM (OR, 0.85; 95% CI, 0.61–1.20). We found no association between dietary fiber intake and diverticulosis (OR, 0.96; 95% CI, 0.71–1.30) in comparing the highest quartile to the lowest (mean intake 25 versus 8 g/day). Conclusions In our cross-sectional, colonoscopy-based study, neither constipation nor a low-fiber diet was associated with an increased risk of diverticulosis.

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“…The epidemiological characters of IBD in Egypt is similar to those in Asian and African population with UC/CD ratio of 6:1. The incidence in Egypt has increased in the past ten years [5,6].…”

Section: Introductionmentioning

confidence: 99%