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COMPARATIVE STUDY ON FACTORS AFFECTING THE OPERATION PROCEDURE OF ENTEROSCOPY

Abdul Waris, Saba zulfiqar, Muhammad Tahir Abbas

Objective To make comparison between age, time, sex, diagnoses and bowl preparation techniques on the procedure of enteroscopic examination. Design Comparative study Setting Between November 2018 and May 2019 Participants 430 patients from 20 years~90 years of age who underwent a colonoscopic examination with a confirmed presence of a gastrointestinal disease or condition. All patients were adequately prepped before the actual colonoscopy with whole bowel irrigation using polyethylene glycol and electrolyte solution, Results: 430 patients with recorded diagnoses were identified and were grouped according to age, sex, time taken for endoscopic examination and diagnoses. Chronic colitis and polyps were the two leading diagnoses confirmed during the exam besides other intestinal disorders. Patients above 20 years of age were found to have steadily increased rate of positive diagnosis for chronic colitis and polyps. However the risk was greatest for the age groups of above 40years of age. the average examination time for both young adults (20~30years) middles aged patients (30~40) was about 18minutes, which is less as compared to the patients of age groups above 40 years of age. This time steadily increased for patients above 40 years i.e. up to27 in elderly patients (80~90 years). Gender did not influence the time or method of examination. Conclusions: Overall these results suggest that patients above 40 years of age are at a much higher risk of intestinal diseases and should be screened regularly and possible early in their lives as a means to take preventive measures. Further technological developments and future research studies in bowel preparation techniques will aid reduce the average time taken for endoscopic examination for all patients.