TITLE

COMPLICATION RATES AND PATIENTS' EXPERIENCE OF COLONOSCOPY IN ULCERATIVE COLITIS SURVEILLANCE

AUTHOR(S)
Rutter, M.D.; Wilkinson, K.H.; Forbes, A.; Saunders, B.P.
PUB. DATE
April 2003
SOURCE
Gut;Apr2003 Supplement 1, Vol. 52, pA110
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background and Aim: Colonoscopic surveillance for cancer in ulcerative colitis (UC) may reduce cancer mortality. However, colonoscopy itself is not without risks. We aimed to quantify these risks. Method: Patients with UC on colonoscopic surveillance were sent a questionnaire gathering information on colonoscopic experiences and previous compJications. Data were collated with each patient's colonoscopy reports. Results: Of 329 traceable patients, 276 questionnaires were returned (84%). Median responder age was 55 (range 26-84, 59% male). Median number of previous colonoscopies was 6 (range 1-15, total 1777). 76% were not frightened at the prospect of colonoscopy. 60% described their most recent colonoscopy as comfortable or very comfortable. Median dose of midazolam was 1.25 mg, and pethidine 25 mg. 38 patients (14%) chose to have no sedation. 81% felt their medication dose was about right, 16% too little and 4% too much. 85% felt fully awake or slightly drowsy during the procedure. 81% had no change in colitic symptoms following colonoscopy, 12% felt their colitis had improved, whereas 7% felt it had worsened. 17% experienced some pain attributable to colonoscopy in the week following the procedure. In 4% the pain was significant enough to disrupt everyday activities. 4 patients had previously experienced rectal bleeding following a colonoscopy (2 needing repeat colonoscopy), equating to a post-colonoscopic bleed rate of 0.23%. There were no perforations and no patient required surgery. Conclusion: Colonoscopy rarely worsens colitic symptoms. A conscious sedation policy is well tolerated. Most patients do not find the procedure uncomfortable. Post-colonoscopy, 4% experienced abdominal pain significant enough to interfere with everyday activities. Complications following surveillance colonoscopy were rare. The bleeding rate was 0.23%, the perforation rate was 0% and no patients required surgery.
ACCESSION #
9748040

 

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