Lower Gastrointestinal System Endoscopy Findings in Şırnak: A Retrospective Study

Aim: It was aimed to evaluate endoscopy reports in patients who had lower gastrointestinal system complaints and underwent endoscopy in Şırnak to determine up-to-date findings and their frequency and to compare them with the literature data. Materials and Methods: Demographic characteristics, endoscopy, and pathology results of patients who underwent lower gastrointestinal system endoscopy in the gastroenterology clinic endoscopy unit of Şırnak State Hospital between November 2019 and August 2021 were evaluated retrospectively. The findings were described with the help of the SPPS 25 statistical program. Results: Of the 728 patients in the study, colonoscopy was performed in 632, and rectosigmoidoscopy was performed in 96 patients. 57.8% (n: 421) were male. The mean age was 46±18.46 (range 18–120 years). The most common indication was rectal bleeding, hematochezia, or, rarely, unexplained melena in 139 (19.1%) patients. Unexplained anemia was the second most common indication in 120 (16.5%) patients. Four hundred and fifty (61.8%) patients had pathological findings. The most common results were 44% (n: 317) hemorrhoids and 19.1% (n: 139) colorectal polyps. The frequency of colorectal cancer, inflammatory bowel disease, solitary rectal ulcer, and diverticulum was 3.4% (n: 25), 9.2% (n: 67), 4.4% (n: 32), and 3.6% (n: 26), respectively. Conclusion: In this study, epidemiological data of lower gastrointestinal system endoscopy in Şırnak were obtained for the first time and compared with literature data. This study, with its up-todate data, will contribute to regional epidemiological studies.

Keywords:

lower gastrointestinal system, endoscopy, diagnosis epidemiology,

PDF

___

1. Yücel Y, Aktümen A, Aydoğan T, Uyanıkoğlu A, Şeker A, Gözeneli O, et al. Lower gastrointestinal system endoscopy: Retrospectively analysis of 1800 cases and determination of the frequency of colorectal cancer. Endoscopy. 2015;23:6–8.
2. Güvendi Fındık G, Eroğlu HA, Adalı Y. Lower Gastrointestinal Endoscopic Biopsy Results of Kars Region. Kafkas J Med Sci. 2018;8(1):70–9.
3. Kosus A, Ates M, Kosus N. Endoscopic Findings In Women With Lower Gastrointestinal System Symptoms. Turkiye Klinikleri J Med Sci. 2008;28:635–9.
4. Lantinga MA, Theunissen F, Ter Borg PCJ, Bruno MJ, Ouwendijk RJT, Siersema PD. Impact of the COVID-19 pandemic on gastrointestinal endoscopy in the Netherlands: analysis of a prospective endoscopy database. Endoscopy. 2021; 53:166–170.
5. Korkmaz H, Kendir İC, Kerpiç O. Evaluation of colonoscopy outcomes with the indications, complications, and success of the procedure in our gastroenterology unit. Endoscopy. 2015; 23(1):9–13.
6. Şit M, Aktaş G, Yılmaz EE. Lower Gastrointestinal Endoscopy Results: Region of Ağrı Doğubayazıt. Medical Journal of Kocaeli. 2012;3:1–4.
7. Tamer A, Korkut E, Korkmaz U, Akcan Y. Low Gastrointestınal Endoscopy, An Institutional Results: Region of Düzce. The Medical Journal of Kocatepe. 2005;6:29–31.
8. Özgürsoy Uran BN, Yüksel Sarıtaş E, Avdal Ünsal E, Arkan B. Epidemiological characteristics and awareness of inflammatory bowel diseases: a cross-sectional study in Izmir. The Turkish Journal of Academic Gastroenterology. 2019;18:112–9.
9. Can G, Poşul E, Yılmaz B, Can H, Korkmaz U, Ermiş F, et al. The rates of incidence and prevalence of inflammatory bowel diseases in Bolu/Düzce Region: Retrospective cohort study between 2004-2013. Abant Med J. 2015;4:210–20.
10. Özin Y, Kılıç MZ, Nadir I, Cakal B, Disibeyaz S, Arhan M, et al. Clinical features of ulcerative colitis and Crohn’s disease in Turkey. J Gastrointestin Liver Dis. 2009;18:157–62.
11. Tözün N, Atug O, Imeryuz N, Hamzaoglu HO, Tiftikci A, Parlak E, et al. Members of The Turkish IBD Study Group. Clinical characteristics of inflammatory bowel disease in Turkey: A multicenter epidemiologic survey. J Clin Gastroenterol. 2009;43:51–7.
12. Tezel A, Dökmeci G, Eskiocak M, Umit H, Soylu AR. Epidemiological features of ulcerative colitis in Trakya, Turkey. J Int Med Res. 2003;31:141–8.
13. Özden A. İnflamatuvar bağırsak hastalığının tarihine kısa bir bakış. Güncel Gastroenteroloji. 2013;17:294–301.
14. Ng SC, Shi HY, Hamidi N, Underwood FE, Tang W, Benchimol EI, et al. Worldwide incidence and prevalence of inflammatory bowel disease in the 21st century: a systematic review of population-based studies. Lancet. 2017;390(10114):2769–78.
15. Aygün C, Bahçecioğlu İH. Soliter Rektal Ülser Sendromu. Güncel Gastroenteroloji. 2010;14:35–8.