Colonoscopy at El Obeid Hospital, Western Sudan

Abstract

Background: Colonoscopy is effective in screening, diagnosis and treatment of colorectal problems.
Objective: The objective of this study was to highlight the impact of colonoscopy service on the pattern and management of lower gastrointestinal diseases as appeared after its introduction for the first time in El Obeid, Western Sudan.
Materials and methods: The records of individuals who underwent colonoscopy at El Obeid Hospital were reviewed. The data were analyzed for gender, age, indications, pathology revealed and the outcomes of the procedures.
Results: Out of 160 colonoscopies performed, there were 108 males (67.5%). The age ranged between 17 and 85 years. The main indications were rectal bleeding, irregular bowel habits and lower abdominal pain. 28.1% of the individuals were found to be normal. 28.0% of the patients had colitis and 2.5% had diverticular disease. Cancer was diagnosed in 10.1% of cases while benign polyps were found in 7.5% of the patients and internal piles were seen in 14.4% of cases. 9.4% of the patients were emergency procedures for acute sigmoid volvulus. Apart from the discomfort and non-frequent nausea, no other complications like rectal bleeding or colonic perforations were encountered among the study group.
Conclusion: Colonoscopy is a safe and useful procedure. Expansion of the service and more training is recommended to supplement diagnosis and facilitate therapeutic measures.

Key words: Colonoscopy, Western Sudan.