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19. Complications following Colonoscopy Procedure in Khyber Teaching Hospital Peshawar

Jamaluddin1, Nizamuddin2, Waheed Iqbal2, Akbar Shah1, Manzoor Khan1 and
Shafaq Naz3

ABSTRACT

Objective: To document and evaluate the clinical complication in all patients following diagnostic colonoscopy.

Study Design: Single centered, descriptive / cross sectional study

Place and Duration of Study: This study was conducted at the Medicine department, Khyber teaching Hospital (KTH), Peshawar from April 2018 to September 2018.

Materials and Methods: A total 400 patient was included in this study with mean age of 46±1 years. Formally informed consent was taken and all the demographics information of the patients was recorded before the colonoscopy procedure. Colonoscopy was performed and all clinically observed adverse events like pain, perforation, bleeding, respiratory arrest, tachycardia and death were recorded. All the recorded data was analyzed by using SPSS version 20.0 while the graphs were constructed using graph pad prism version 6.0.

Results: Among400 patients, 240 (60%) were male and 160(40%) were female. Clinical complications were observed in 40(10%) patients, while no clinical complications were noted in the rest 360(90%) patients. Out of these 40 patients who have some sort of complications, 20 patients were male and 20patients were female.There was no major complication like perforation, cardiac arrhythmias, major respiratory arrest or aspiration and immediate death in any patients. Minor complications like Pain, tachycardia (palpitation)and minor bleeding were observed in 20, 10 and 10of the patients, respectively. The age and possibly gender difference does not contributed any significant contribution in the development of these complications.

Conclusion: All these results clearly indicate, “That lower GIendoscopy (Colonoscopy) is a very safe procedure in indicated patients, proper preparation of the patient and properly performed either directly or in the supervision of a senior endoscopist”.

Key Words: Colonoscopy,lower GI tractand majorcomplications

Citation of articles: Jamaluddin, Nizamuddin, Iqbal W, Shah A, Khan M, Naz S. Complications following Colonoscopy Procedure in Khyber Teaching Hospital Peshawar. Med Forum 2019;30(2):75-77.