Retrospective analyses of the patients evaluated in the general surgery endoscopy unit: 2-year clinical experience

Authors : Murat Özkara

Pages : 374-378

Doi:10.52880/sagakaderg.1509305

View : 37 | Download : 85

Publication Date : 2024-09-30

Article Type : Research Paper

Abstract :ABSTRACT Introduction and Objective: Endoscopy systems are widely used today in many fields involving diagnosis and treatment, and the applications of endoscopy systems continue to expand every day with advancing technological and medical innovations. The aim of this study is to examine patients who underwent endoscopic evaluation in the tertiary care hospital\'s general surgery endoscopy unit and present our clinical experiences along with current literature information. Method: The study population consisted of patients who underwent Gastrointestinal (GI) endoscopy in the General Surgery Endoscopy Unit of Gülhane Education and Research Hospital between July 2021 and July 2023. The study included 1700 patients who presented with complaints of dyspepsia, retrosternal pain, and dysphagia and underwent upper GI endoscopy, as well as 1000 patients who presented with complaints of rectal bleeding, tenesmus, anemia, and anal region pain and underwent lower GI endoscopy. Results: The average age of the patients was 46.2 ± 14.7 years (range: 20-82 years). Among the patients who underwent upper GIS endoscopy, dyspeptic complaints (74%) were the most commonly observed symptom. Of the lower GIS endoscopic examinations, 82.2% were total colonoscopies, 13% were rectosigmoidoscopies, and 4.8% were rectoscopies. Polyps were diagnosed endoscopically in 22% of cases, diverticula in 9%, internal hemorrhoidal disease in 4.3%, and malignancy in 2%. Conclusion: Endoscopy has become the gold standard for the diagnosis of GIS cancers. It is crucial for patients to have easy access to endoscopy units and to have their examinations done in a timely manner for the early diagnosis and treatment of these cancers. Delays in diagnosis and treatment can increase morbidity and mortality in GIS malignancies. GIS endoscopy is an important component of the multidisciplinary approach to the diagnosis and treatment of malignant diseases of the digestive system.
Keywords : Endoskopi, kolonoskopi, gastrointestinal sistem, malignite