PTH-010 Cecal withdrawal time: assessing standards of colonoscopy in district general hospital

Abstract

rates are high in patients with existing colon pathology. Rates would reduce in certain groups with greater vigilance and use of chromoendoscopy.. Surveillance timeframes were often breached. Effective processes should reduce delays. . Bowel preparation was often poor. If these colonoscopies are not repeated, the decision should be recorded. . Some adenomas were overlooked while endoscopists focussed on large polyps. Early repeat colonoscopy should be considered after complicated procedures. . Photodocumentation was adequate in 44.4% of cases.Inadequate photos may be a marker for other shortcomings and repeat colonoscopy considered if caecal documentation is incomplete.These findings indicate that PCCRC rates could be reduced by up to 70% if avoidable factors are addressed. There is a need for quality improvement studies targeting these factors to quantify their impact on PCCRC rates.