Appropriateness of colonoscopy in a tertiary referral centre
The aim of this study was to determine the appropriateness of colonoscopy in relation to its diagnostic yield, with reference to the guidelines set by the American Society of Gastrointestinal Endoscopy (ASGE). A prospective 90-day audit was performed at Hospital Kuala Lumpur, which is a tertiary ref...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2004
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| Online Access: | http://psasir.upm.edu.my/id/eprint/37140/ http://psasir.upm.edu.my/id/eprint/37140/1/Appropriateness%20of%20colonoscopy%20in%20a%20tertiary%20referral%20centre.pdf |
| _version_ | 1848848528446586880 |
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| author | Jabar, Mohd Faisal Abdul Halim, Muhd Ezman Alif Gul, Yunus Gul |
| author_facet | Jabar, Mohd Faisal Abdul Halim, Muhd Ezman Alif Gul, Yunus Gul |
| author_sort | Jabar, Mohd Faisal |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | The aim of this study was to determine the appropriateness of colonoscopy in relation to its diagnostic yield, with reference to the guidelines set by the American Society of Gastrointestinal Endoscopy (ASGE). A prospective 90-day audit was performed at Hospital Kuala Lumpur, which is a tertiary referral centre in Malaysia, to examine the appropriateness of colonoscopy by indication. During that time, 257 colonoscopies were performed in 244 patients. The predominant indications for colonoscopy were altered bowel habit (37%) and rectal bleeding (18%). Of the 257 colonoscopies, 216 (84%) were judged to be appropriate by ASGE guidelines. Only 43% of all colonoscopies had positive findings. Positive findings were found in 93% of cases judged appropriate compared with only 7% found in cases deemed inappropriate. There were statistically significant relationships between appropriateness and overall positive yield and between appropriateness and neoplastic findings (p < 0.05). Colonoscopy performed for appropriate indications yield more significant findings, thus, we advocate the use of accepted guidelines to maintain or improve the standard of colonoscopy services. |
| first_indexed | 2025-11-15T09:35:56Z |
| format | Article |
| id | upm-37140 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T09:35:56Z |
| publishDate | 2004 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-371402016-04-07T06:43:42Z http://psasir.upm.edu.my/id/eprint/37140/ Appropriateness of colonoscopy in a tertiary referral centre Jabar, Mohd Faisal Abdul Halim, Muhd Ezman Alif Gul, Yunus Gul The aim of this study was to determine the appropriateness of colonoscopy in relation to its diagnostic yield, with reference to the guidelines set by the American Society of Gastrointestinal Endoscopy (ASGE). A prospective 90-day audit was performed at Hospital Kuala Lumpur, which is a tertiary referral centre in Malaysia, to examine the appropriateness of colonoscopy by indication. During that time, 257 colonoscopies were performed in 244 patients. The predominant indications for colonoscopy were altered bowel habit (37%) and rectal bleeding (18%). Of the 257 colonoscopies, 216 (84%) were judged to be appropriate by ASGE guidelines. Only 43% of all colonoscopies had positive findings. Positive findings were found in 93% of cases judged appropriate compared with only 7% found in cases deemed inappropriate. There were statistically significant relationships between appropriateness and overall positive yield and between appropriateness and neoplastic findings (p < 0.05). Colonoscopy performed for appropriate indications yield more significant findings, thus, we advocate the use of accepted guidelines to maintain or improve the standard of colonoscopy services. Elsevier 2004-01 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/37140/1/Appropriateness%20of%20colonoscopy%20in%20a%20tertiary%20referral%20centre.pdf Jabar, Mohd Faisal and Abdul Halim, Muhd Ezman and Alif Gul, Yunus Gul (2004) Appropriateness of colonoscopy in a tertiary referral centre. Asian Journal of Surgery, 27 (1). pp. 26-31. ISSN 1015-9584; ESSN: 0219-3108 http://www.sciencedirect.com/science/article/pii/S1015958409602402 10.1016/S1015-9584(09)60240-2 |
| spellingShingle | Jabar, Mohd Faisal Abdul Halim, Muhd Ezman Alif Gul, Yunus Gul Appropriateness of colonoscopy in a tertiary referral centre |
| title | Appropriateness of colonoscopy in a tertiary referral centre |
| title_full | Appropriateness of colonoscopy in a tertiary referral centre |
| title_fullStr | Appropriateness of colonoscopy in a tertiary referral centre |
| title_full_unstemmed | Appropriateness of colonoscopy in a tertiary referral centre |
| title_short | Appropriateness of colonoscopy in a tertiary referral centre |
| title_sort | appropriateness of colonoscopy in a tertiary referral centre |
| url | http://psasir.upm.edu.my/id/eprint/37140/ http://psasir.upm.edu.my/id/eprint/37140/ http://psasir.upm.edu.my/id/eprint/37140/ http://psasir.upm.edu.my/id/eprint/37140/1/Appropriateness%20of%20colonoscopy%20in%20a%20tertiary%20referral%20centre.pdf |