ABSTRACT

The aim of the study is to assess the quality and competence of surgeon-endoscopists to perform colonoscopies by measuring their performance outcomes according to ASGE quality indicators for colonoscopy.

A retrospective case review of 164 colonoscopies performed between September 2008 and March 2010 by two attending surgeons. Appropriateness of indications was compared with the indications for colonoscopy published by ASGE and U.S. Multi-Society Task Force on Colon Cancer. The evaluation criteria were selected among the guidelines proposed by the ASGE.

There were 160 initial colonoscopies and 4 follow-up examinations for a total of 164 colonoscopies. Demographic data of the patients showed that 48 % were male and 52% were female. Mean age was 52 years with a range of 18 to 86 years. The all colonoscopies were performed in accordance with ASGE criteria. The most common indications were screening (37%), abdominal pain (21%) and change in bowel habits (16%). The cecal intubation rate was 86%. Among the 160 subject, 64 polypoid lesions were detected on 40 patients (26%). Of the 64 polyps subjected to biopsy, 59% were adenomatous polyp and 41% were benign polypoid lesions. No complications was seen in our series.

Surgeon-endoscopists demonstrate proficiency in performing colonoscopies according to proposed guidelines.