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Outcome and Complications of Colonoscopy: A Prospective Multicenter Study in Northern Israel

机译：结肠镜检查的结果和并发症：以色列北部的一项前瞻性多中心研究

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Background. Colonoscopy for screening the population at an average risk of colorectal cancer (CRC) is recommended by many leading gastrointestinal associations.Objectives. The objective was to assess the quality, complications and acceptance rate of colonoscopy by patients.Methods. We prospectively gathered data from colonoscopies which were performed between October 2003 and September 2006. Patients were asked to return a follow-up form seven days after the procedure. Those who failed to do so were contacted by phone.Results. 6584 patients were included (50.4% males). The average age of subjects was 57.73 (SD 15.22). CRC screening was the main indication in 12.8%. Cecal intubation was achieved in 92% of patients and bowel preparation was good to excellent in 76.2%. The immediate outcome after colonoscopy was good in 99.4%. Perforations occurred in 3 cases—1 in every 2200 colonoscopies. Significant bleeding occurred in 3 cases (treated conservatively). 94.2% of patients agreed to undergo repeat colonoscopy in the future if indicated.Conclusions. The good quality of examinations, coupled with the low risk for complications and the good acceptance by the patients, encourages us to recommend colonoscopy as a primary screening test for CRC in Israel.
机译：背景。许多领先的胃肠病协会推荐使用结肠镜检查来筛查处于大肠癌（CRC）平均风险的人群。目的是评估患者结肠镜检查的质量，并发症和接受率。我们前瞻性地收集了从2003年10月至2006年9月进行的结肠镜检查的数据。要求患者在手术后7天返回随访表。那些没有这样做的人将通过电话联系。结果。包括6584名患者（男性50.4％）。受试者的平均年龄为57.73（SD 15.22）。 CRC筛查是主要指标，占12.8％。 92％的患者实现了盲肠插管，肠准备的好坏率为76.2％。结肠镜检查后的即时结果良好，为99.4％。 3例发生穿孔，每2200例结肠镜检查中就有1例穿孔。 3例发生严重出血（保守治疗）。如果有适应症，则94.2％的患者同意将来进行再次结肠镜检查。良好的检查质量以及较低的并发症风险和患者的良好接受率，鼓励我们建议将结肠镜检查作为以色列CRC的主要筛查方法。

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