THE RELATION BETWEEN DISTAL AND PROXIMAL FINDINGS IN PATIENTS UNDERGOING COLONOSCOPY.

Dr.Mohamed Alshekhani; Dr.Zana Nasraddin Mohialdeen; Dr.Bakhtyar Faiq Salim; Dr.Sasan Nuri Hakim

Volume : IX, Issue : XI, November - 2019

THE RELATION BETWEEN DISTAL AND PROXIMAL FINDINGS IN PATIENTS UNDERGOING COLONOSCOPY.

Dr. Mohamed Alshekhani, Dr. Zana Nasraddin Mohialdeen, Dr. Bakhtyar Faiq Salim, Dr. Sasan Nuri Hakim

Abstract :

Introduction and Background: Patients who have distal advanced neoplasia are more likely to develop proximal neoplasia and even advanced neoplasia. Colonoscopy has been reported to be accurate and quite efficient screening technique and can diagnose both proximal and distal lesions. It is significant to determine the relationship between distal and proximal colonoscopic findings, which helps with selection of subsequent follow–up interventions for the patients with distal lesions. Objective: To figure out the relationship between the distal and proximal findings in patients who had undergone colonoscopy. Patients and Methods: This prospective study was conducted from Feuary 2018 to Feuary 2019 on 301 patients who had been referred for colonoscopy to Kurdistan center for gastroenterology and hepatology in Sulaimaniya–Iraqi Kurdistan–Iraq. Required data were collected through a researcher–designed checklist, their medical records, and face–to–face interviews. The collected data were analyzed through descriptive statistics and Chi–square test using Statistical Package for Social Sciences (version 22.0). Results: The male patients and those aged 25–64 years had a higher rate of distal lesions. Presence of blood in the stool was found to be an indication for incidence of distal lesions.The results also revealed that the most frequent sites of colorectal lesions were found to be left side colon, the rectum, both left and right sides of colon, and sigmoid, respectively. There was a significant relationship between the distal and proximal findings in patients undergoing colonoscopy. Conclusion: Colonoscopy can be employed as a reliable screening technique to distinguish distal lesions in the colon. Also, due to the significant relationship between the distal and proximal findings , therefore, distal and proximal findings of colonoscopy have predictive value to spot colorectal disorders.