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Análise Retrospectiva de 504 Colonoscopias Retrospective Analysis of 504 Colonoscopies

2010; Cidade Editora Científica Ltda; Volume: 30; Issue: 2 Linguagem: Inglês

1980-5446

Rodrigo Guimarães Oliveira, Flávia Fontes Faria, Antônio Carlos Barros, Lima Júnior, Fábio Gontijo Rodrigues, Áurea Cássia, Gualberto Braga, David de Lanna, Heraldo Neves, Valle Júnior, Ricardo Guimarães Teixeira, Peterson Mar, Tins Neves, Isabella Mendonça Alvarenga, José Roberto Boffino de Almeida Monteiro, Const Antino, Renata Magali Ribeiro, Silluzio Ferreira, Geraldo Magela Gomes da Cruz, Oliveira Rg, Faria Ff, Lima Júnior Acb, Rodrigues Fg, Braga Acg, David de Lanna, Valle Júnior Hn, Teixeira Rg, Neves Pm, Alvarenga Im, Constantino Jrm, Ferreira Rmrs, Silva Ig,

Gastric Cancer Management and Outcomes

ABSTRACT: The authors retrospectively analyzed 504 outpatient undergoing colonoscopy, performed from June 2008 to May2009, in the “Center for Medical Specialties” of Santa Casa de Belo Horizonte, by the Group of Coloproctology of Santa Casa deBelo Horizonte and School of Medical Sciences of Minas Gerais (CPG). The study deserve special highlights the analysis ofgender, age, specialty of referring physicians, indications of colonoscopy , bowel preparation used, height achieved by colonoscopyand colonoscopic findings. Regarding gender , 67% (337) wer e women and 33% (167) men, and as to age, stood sixth (130 patients,26%) and seventh (113 patients, 22%). The examination was self-generated by the GCP in 79.56% (401 colonoscopies) and themost common indications were low bleeding (76 cases, 13.0%) and control patients undergoing surgical approach to colorectalcancer (70 cases; 12.0%). Bowel preparation was done with mannitol, lactulose and sodium picosulphate, according to the clinicalstatus, allowing for 71% (359 cases) of excellent results. Colonoscopy reached the cecum in 445 patients (88.0%), having reachedthe terminal ileum in 293 cases (58.0%). The main findings were polyps (163 cases, 28.0%), followed by normal findings (149cases, 26.0%) and diverticular disease of the colon (141 cases, 24.0%). Of the 151 polyps that had marked its size, 130 polyps werethe largest diameter less than 10 mm (86.0%). Of 207 histopathological examinations performed, either in biopsies or in polypresection, the polyp was the most common finding (163 cases, 78.8%), and among the 163 polyps resected the most commonfinding was the adenoma with low grade dysplasia (1 16 cases ; 71.2%). Ther e wer e no complications. The data wer e compar ed withsome published reports, all within the usual standards.Key words: Colonoscopy; Diagnosis; Colorectal diseases; colorectal polyps; bowel preparation.