Prevalence of colon lesions diagnosed by videocolonoscopy from 2019 to 2021

Authors

DOI:

https://doi.org/10.33448/rsd-v12i10.43353

Keywords:

Colonoscopy; Coloproctology; Colon Diseases; Prevalence.

Abstract

Colonoscopy is a crucial procedure for both the diagnosis and treatment of a variety of conditions affecting the rectum, colon, and part of the terminal ileum, including polyps, inflammatory bowel diseases, and colorectal cancer. Its indications encompass colorectal cancer screening, the investigation of abnormalities detected in imaging studies, the assessment of symptomatic patients (such as those with lower gastrointestinal bleeding and chronic diarrhea), as well as the monitoring of previously diagnosed intestinal conditions. Moreover, colonoscopy allows for therapeutic interventions, such as biopsies, polypectomies, management of bleeding, dilation, or stent placement in cases of symptomatic colonic strictures, marking of lesions for future surgical resection, among others. The aim of this study was to analyze the prevalence of colonic lesions identified through videocolonoscopy from 2019 to 2021. To achieve this, the reports of patients who underwent videocolonoscopy at a clinic in Aracaju during this period were reviewed. According to the research findings, polyps were the most common findings in colonoscopies, with a higher prevalence in the transverse colon, sigmoid colon, and rectum. These findings suggest that flexible sigmoidoscopy, due to its minimally invasive nature and easy accessibility, may play a significant role in detecting polyps during colorectal cancer screening, particularly in distal lesions.

References

Assis, R. V. B. F. (2011). Rastreamento e vigilância do câncer colorretal: guidelines mundiais. GED Gastroenterol endosc. dig, 30(2), 62-74.

Atkin, W. S., Edwards, R., Kralj-Hans, I., Wooldrage, K., Hart, A. R., Northover, J. M., & Cuzick, J. (2010). Triagem por sigmoidoscopia flexível única na prevenção do câncer colorretal: um ensaio multicêntrico randomizado e controlado. The Lancet, 375 (9726), 1624-1633. https://doi.org/10.1016/S0140-6736(10)60551-X

Averbach, M., & Corrêa, P. (2020). Colonoscopia. Thieme Revinter.

Coser, R. B., Dalio, M. B., Martins, L. C. P., Alvarenga, G. F. D., Cruz, C. A., Imperiale, A. R., & Teixeira Júnior, J. C. (2018). Complicações em colonoscopia: experiência uni-institucional com 8968 pacientes. Revista do Colégio Brasileiro de Cirurgiões, 45. https://doi.org/10.1590/0100-6991e-20181858

Frazzoni, L., La Marca, M., Radaelli, F., Spada, C., Laterza, L., Zagari, R. M., ... & Fuccio, L. (2021). Systematic review with meta‐analysis: the appropriateness of colonoscopy increases the probability of relevant findings and cancer while reducing unnecessary exams. Alimentary pharmacology & therapeutics, 53(1), 22-32. https://doi.org/10.1111/apt.16144

Holme, O., Loberg, M., Kalager, M., Bretthauer, M., Hernán, M. A., Aas, E., & Hoff, G. (2014). Effect of flexible sigmoidoscopy screening on colorectal cancer incidence and mortality: a randomized clinical trial. Jama, 312(6), 606-615. https://doi.org/10.1001/jama.2014.8266

INCA. Instituto Nacional do Câncer. (2023). Câncer de cólon e reto. Disponível em: https://www.gov.br/inca/pt-br/assuntos/cancer/numeros/estimativa/sintese-de-resultados-e-comentarios/cancer-de-colon-e-reto

Kim, S.Y., Kim, H. S., & Park, H. J. (2019). Adverse events related to colonoscopy: Global trends and future challenges. World journal of gastroenterology, 25(2), 190. https://doi.org/10.3748/wjg.v25.i2.190

Leal, R. M., Mendes, C. R. S., Moreira, L. F., Amorim, T. M. B., Andrade, A. C. D. M., & Goncalves, E. S. (2019). Colonoscopic findings in patients aged 50 years and older: a critical analysis of 1614 exams. Journal of Coloproctology (Rio de Janeiro), 39, 22-26. https://doi.org/10.1016/j.jcol.2018.09.006

Lee, L., & Saltzman, J. R. (2013). Overview of colonoscopy in adults. Disponível em: https://medilib.ir/uptodate/show/13927

Lima, J. C. P., Ardengh, J. C., de Almeida Artifon, E. L., & dos Santos, C. E. O. (2018). Endoscopia Digestiva Na Prática Clínica. Elsevier Brasil.

Merchán-Hamann, E., & Tauil, P. L. (2021). Proposta de classificação dos diferentes tipos de estudos epidemiológicos descritivos. Epidemiologia e Serviços de Saúde,30, p. 1-13. https://doi.org/10.1590/s1679-49742021000100026.

Moura, E. G. H., de Almeida, E. L A.., & Sakai, P. (2014). Manual do residente em endoscopia digestiva. Editora Manole.

Olokoba, A. B., Obateru, O. A., Bojuwoye, M. O., Olatoke, S. A., Bolarinwa, O. A., & Olokoba, L. B. (2013). Indications and findings at colonoscopy in Ilorin, Nigeria. Nigerian Medical Journal: Journal of the Nigeria Medical Association, 54(2), 111. https://doi.org/10.4103/0300-1652.110044

Rostirolla, R. A., Pereira-Lima, J. C., Teixeira, C. R., Schuch, A. W., Perazzoli, C., & Saul, C. (2009). Desenvolvimento de neoplasias/adenomas avançados colorretais no seguimento a longo prazo de pacientes submetidos a colonoscopia com polipectomia. Arquivos de Gastroenterologia, 46, 167-172. https://doi.org/10.1590/S0004-28032009000300005

Schoen, R. E., Pinsky, P. F., Weissfeld, J. L., Yokochi, L. A., Church, T., Laiyemo, A. O., ... & Berg, C. D. (2012). Colorectal-cancer incidence and mortality with screening flexible sigmoidoscopy. New England Journal of Medicine, 366(25), 2345-2357. https://doi.org/10.1056/nejmoa1114635

Segnan, N., Armaroli, P., Bonelli, L., Risio, M., Sciallero, S., Zappa, M., & Grupo de Trabalho SCORE. (2011). Sigmoidoscopia única no rastreamento do câncer colorretal: resultados de acompanhamento do ensaio clínico randomizado controlado italiano - SCORE. Jornal do Instituto Nacional do Câncer, 103 (17), 1310-1322.

Shaukat, A., Kahi, C. J., Burke, C. A., Rabeneck, L., Sauer, B. G., & Rex, D. K. (2021). ACG Clinical Guidelines: Colorectal Cancer Screening 2021. Official journal of the American College of Gastroenterology| ACG, 116(3), 458-479. https://doi.org/10.14309/ajg.0000000000001122

Siegel, R. L., Wagle, N. S., Cercek, A., Smith, R. A., & Jemal, A. (2023). Colorectal cancer statistics, 2023. CA: a cancer journal for clinicians, 73(3), 233–254. https://doi.org/10.3322/caac.21772

Silva, M., & Errante, P. R. (2017). Câncer colorretal: fatores de risco, diagnóstico e tratamento. UNILUS Ensino e Pesquisa, 13(33), 133-140.

Sousa, J. B. D., Silva, S. M., Fernandes, M. B. D. L., Nobrega, A. C. D. S., Almeida, R. M. D., & Oliveira, P. G. D. (2012). Colonoscopias realizadas por médicos residentes em hospital universitário: análise consecutiva de 1000 casos. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo), 25, 9-12. https://doi.org/10.1590/S0102-67202012000100003

Published

01/10/2023

How to Cite

SOARES, M. da C. C. .; CARVALHO, I. Ávila F. .; LIMA, M. A. C. .; TRINDADE, L. M. D. F. .; TORRES, F. A. do P. . Prevalence of colon lesions diagnosed by videocolonoscopy from 2019 to 2021. Research, Society and Development, [S. l.], v. 12, n. 10, p. e12121043353, 2023. DOI: 10.33448/rsd-v12i10.43353. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/43353. Acesso em: 13 may. 2024.

Issue

Section

Health Sciences