Screening colonoscopy in Port Harcourt, Nigeria
Screening colonoscopy in Port Harcourt, Nigeria
复制标题
DOI：
10.4081/gi.2019.7987
复制
发表时间：
2019-01-01
影响因子：
2.9
通讯作者：
Abdulkareem, Fatimah
中科院分区：
文献类型：
--
作者：
Ray-Offor, Emeka;Abdulkareem, Fatimah
结肠镜检查是结肠直肠癌的筛查工具。这项服务的成本、随时可用性和专门知识是限制其在低收入/中等收入国家日常使用的因素。其目的是研究无症状尼日利亚中年人的癌前结肠息肉，并强调结肠镜检查在撒哈拉以南非洲人群中的有用性。我们对2018年1月至12月在尼日利亚里弗斯州哈科特港的转诊内镜机构接受筛查性结肠镜检查的无症状患者进行了一项观察性研究。收集的变量包括人口统计学、内镜和组织学结果。使用IBM SPSS Statistics for Windows（版本20，阿尔蒙克，纽约）进行统计分析。在研究期间共进行了144次结肠镜检查，其中70例无症状病例用于筛选适应症。65例为男性，5例为女性。年龄范围为48岁至60岁;平均54.8 ± 3.6岁。息肉检出率为53.7%，其中多发性息肉13例。在19例患者中检测到的腺瘤为：22例管状腺瘤伴低度异型增生; 3例管状绒毛状腺瘤伴低度异型增生; 1例无蒂锯齿状腺瘤。腺瘤检出率为28.8%。19例未发现异常。腺瘤性息肉的患病率令人担忧，绒毛状腺瘤很少见。通过结肠镜检查进行筛查和监测的有针对性的政策将遏制结直肠癌发病率的上升。
Colonoscopy is a screening tool for colorectal cancer. The cost of this service, ready availability and expertise are factors limiting its routine use in low-/middle-income countries. The aim was to study premalignant colonic polyps in asymptomatic middle-aged Nigerians and highlight the usefulness of screening colonoscopy in a sub-Saharan African population. We carried out an observational study on asymptomatic patients undergoing screening colonoscopy in a referral endoscopy facility in Port Harcourt, Rivers State, Nigeria from January to December 2018. The variables collated were demographics, endoscopic and histologic findings. Statistical analysis was done using IBM SPSS Statistics for Windows, version 20 Armonk, NY. A total of 144 colonoscopy procedures were performed during the study period with 70 asymptomatic cases for screening indication. Sixty-five were males and 5 females. The age range was from 48 years to 60 years; mean 54.8 +/- 3.6 years. A polyp-detection rate of 53.7% was recorded with multiple polyps seen in 13 cases. Adenoma(s) detected in 19 persons were: 22 tubular adenomas with low grade dysplasia; 3 tubulo-villous adenomas with low grade dysplasia; 1 sessile serrated adenoma. The adenoma detection rate was 28.8%. No abnormality was detected in 19 cases. There is a worrisome prevalence of adenomatous polyps; villous adenoma is rare. A targeted policy of screening and surveillance by colonoscopy will curb the rising incidence of colorectal cancer.