Endoscopy 2022; 54(S 01): S142
DOI: 10.1055/s-0042-1744941
Abstracts | ESGE Days 2022
ESGE Days 2022 Digital poster exhibition

QUALITY INDICATORS FOR COLONOSCOPY IN EGYPT: A PROSPECTIVE MULTICENTER STUDY

S. Afify
1   National Hepatology and Tropical Medicine Research Institute, Gastroenterology, Cairo, Egypt
,
M. Tag-Adeen
2   Qena Faculty of Medicine, Department of Internal Medicine, Qena, Egypt
,
A. Abu-Elfatth
3   Assuit University, Tropical Medicine and Gastroenterology, Assiut, Egypt
,
A. Eid
4   Al-Azhar University, Hepatogastroenterology and Infectious disease, Cairo, Egypt
,
A. Nageh
5   Alexandria Hepatology, GIT and Fever Hospital, Gastroenterology and Endoscopy, Alexandria, Egypt
,
A. Alzamzamy
6   Maadi Armed Forces Medical Complex, Gastroenterology and Hepatology, Cairo, Egypt
,
F. El-Raey
7   Al-Azhar University, Hepatogastroenterology and Infectious diseases, Damietta, Egypt
,
A.N Basiony
8   Ain Shams University, Tropical Medicine, Cairo, Egypt
,
M. Abdelghani
3   Assuit University, Tropical Medicine and Gastroenterology, Assiut, Egypt
,
D. Abdeltawab
3   Assuit University, Tropical Medicine and Gastroenterology, Assiut, Egypt
,
R.M Ahmed
9   Assuit University, Internal Medicine, Assiut, Egypt
,
H. Nasr
9   Assuit University, Internal Medicine, Assiut, Egypt
,
M.N. Alkady
10   Kasr Alaini Faculty of Medicine, Cairo University, Internal Medicine, Cairo, Egypt
,
W. Ibrahim
11   Nasser Institute for Research and Treatment, Gastroenterology and Hepatology, Cairo, Egypt
,
O. Elshaarawy
12   National Liver Institute, Menoufia University, Hepatology and Gastroenterology, Menoufia, Egypt
,
H. Amer
13   Suad Kafafy University Hospital, General Medicine, Giza, Egypt
,
M. Thoufeeq
14   Sheffield Teaching Hospitals, Endoscopy, Sheffield, United Kingdom
,
M. Alboraie
15   Al-Azhar University, Internal Medicine, Cairo, Egypt
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Aims Colonoscopy is the gold standard colorectal cancer screening method. Despite widely available in Egypt, no sufficient data about quality performances exists. We studied 13 quality indicators in 8 centres aiming to attain a representative image about quality of colonoscopy in Egypt.

Methods This is a Multicenter prospective study done between July–December 2020. The studied indicators included; indications, pre-procedure assessment, informed consent, colon preparation, sedation, caecal intubation rate (CIR), withdrawal time, adenoma detection rate (ADR), complication rate, photographic documentation, automated sterilization, infection control check and equipped recovery room.

Results A total of 1006 colonoscopies were performed along the study duration in the included centers. Four indicators were fulfilled in all centers including; appropriate indications, pre-procedure assessment, informed consent and automated sterilization. However, photographic documentation and equipped recovery room were fulfilled only in 57%. Adequate colon preparation was achieved in 61% of procedures, 81% of procedures were performed under sedation, CIR was achieved in 95.4% and ADR reached 15%. Mean withdrawal time was 11 minutes and overall complications rate was 0.1%. Statistically significant factors affecting CIR were age>40 years, high definition endoscope, previous colon intervention and rectal bleeding while those affecting ADR were age>40, image enhancement, previous colon intervention, rectal bleeding, use of water pump, and withdrawal time>9 minutes.

Conclusions Our study revealed the quality aspects of colonoscopy practice in Egypt. Colonoscopies achieved high CIR and low complication rate and ADR that met the international standards while the quality of bowel cleansing and infection control measures should be improved.



Publication History

Article published online:
14 April 2022

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