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Orv Hetil ; 157(52): 2074-2081, 2016 Dec.
Artículo en Húngaro | MEDLINE | ID: mdl-28019112

RESUMEN

INTRODUCTION AND AIM: The aim was to assess the incidence of endoscopic findings based on the indication of the procedures in upper/lower endoscopies, and measuring quality indicators of colonoscopies at the 1st Department of Medicine, Semmelweis University, Budapest. METHOD: Data of 2987 patients (male/female:1361/1626, mean age: 60.7 years(y), SD: 16.7y) between 01.01.2010 and 31.12.2011 were analyzed. Both inpatient and outpatient records were collected. RESULTS: Incidence of peptic ulcer disease, esophageal varices, gastric polyps and gastric cancer were 10.8%, 4.5%, 6.1%, 2.9% in upper endoscopies, respectively. In colonoscopies colorectal polyps, diverticulosis, colorectal cancer and IBD were found in 29.9%, 22.4%, 6.9%, 9.7%, respectively. In patients having upper endoscopy with GI bleeding indication, older age (p<0.001), male gender (p<0.001, OR: 1.64), acenocoumarol/heparin use (p<0,001, peptic ulcers and esophageal varices were more frequent (p<0.001, OR: 2.83 and p<0.001, OR: 2.79), while in colonoscopies colorectal cancer had higher incidence (p<0.001, OR:3.27). 81% of colonoscopies were complete. Causes of incomplete procedures were ineffective bowel preparation (38.2%), technical difficulties (25.1%) and strictures (20.5%). CONCLUSION: The endoscopic findings and quality indicators (adenoma detection rate, coecal intubation rate) were in line with that reported in published series. Orv. Hetil., 2016, 157(52), 2074-2081.


Asunto(s)
Endoscopía Gastrointestinal/métodos , Enfermedades Gastrointestinales/diagnóstico , Tracto Gastrointestinal Inferior/diagnóstico por imagen , Tracto Gastrointestinal Superior/diagnóstico por imagen , Adulto , Anciano , Endoscopía Gastrointestinal/estadística & datos numéricos , Femenino , Hemorragia Gastrointestinal/diagnóstico , Neoplasias Gastrointestinales/diagnóstico , Humanos , Hungría , Pólipos Intestinales/diagnóstico , Masculino , Persona de Mediana Edad
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