Is there a difference in adenoma detection rates between gastroenterologists and surgeons?

• 作者: Adele Hwee Hong Lee Nuttaradee Lojanapiwat Raaj Chandra Vikram Balakrishnan
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: COLORECTAL SURGERY Gastroenterologists SURGEONS ADENOMA COLONOSCOPY General SURGERY
• 年，卷（期）: 2018,（6）
• 页码范围: 109-116
• 页数: 8页
• 分类号: R

摘要

AIM To compare the adenoma detection rate(ADR)between gastroenterologists and colorectal surgeons at Box Hill Hospital,Melbourne,Australia.METHODS A total of 300 colonoscopies performed by gastroenterologists and colorectal surgeons at Box Hill Hospital were retrospectively reviewed from May 2016 to June 2017.Exclusion criteria were:Patients≤50 years old,colonoscopies with failure of caecal intubation,patients who previously had colon cancer and/or a colonic resection,history of polyposis syndromes or inflammatory bowel disease,or a colonoscopy within the last 10 years.Patient demographics,indications,symptoms and procedural-related outcomes were measured.RESULTS The ADR was not significantly different between gastroenterologists and colorectal surgeons(34%vs 34.67%;P=0.90).The adjusted odds ratio correcting for gender,age,1st degree relative with colorectal cancer,previous colonoscopy,trainee involvement and caecal or terminal ileum intubation rate was 1.19(0.69-2.05).CONCLUSION Both specialties at our institution exceed benchmark standards suggested by published Australian and American guidelines.An association between endoscopist specialty and ADR was not observed.