TITLE:
Appropriateness of colonoscopy in Cocody teaching hospital center in 2010: A prospective study using criteria established by the European panel on the appropriateness of gastrointestinal endoscopy (EPAGE)
AUTHORS:
Constant Assi, Marie Jeanne Lohouès-Kouacou, Emile Allah-Kouadio, Christian Jomo Njossu, Anassi Jean-Baptiste Okon, Stanislas Doffou, Siaka Koné, Ganda Soumaré, Amadou Koné, Amadou Ouattara, Dramane Soro, Mamadou Diakité, Benoît-Mathieu Camara
KEYWORDS:
Colonoscopy; Appropriateness; EPAGE Score; Colorectal Cancer; Côte d’Ivoire
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.2 No.4,
November
29,
2012
ABSTRACT: Aims: 1) To assess the feasibility of EPAGE criteria in clinical practice; 2) To assess appropriateness colonoscopy using EPAGE criteria; 3) To compare colonoscopy appropriateness and endoscopic lesions. Method: Hundred thirtynine consecutive patients explored by colonoscopy were included. The appropriateness of colonoscopy was evaluated by EPAGE criteria. Results: EPAGE criteria were applicable among 127 patients (91% of the cases). Colonoscopies were appropriate, uncertain and inappropriate in respectively 40%; 27% and 24% of the cases. Rate of abnormal colonoscopies was significantly different between the 3 groups (p = 0.03). Cancers were diagnosed exclusively in the groups with appropriate and uncertain colonoscopies (11% and 5%). Colonic adenomas were observed in the three groups (appropriate (7%), uncertain (5%) and inappropriate (6%)). Subjects with uncertain indication were older (58.25 years; p = 0.035). Conclusion: EPAGE criteria are feasible in clinical practice in Cocody’s teaching hospital center. Colonoscopies are generally appropriate in our hospital. However, within sight of the significant number of normal colonoscopies and discovered lesions in uncertain indication, colonoscopy cannot concern exclusively calculation of a score of appropriateness.