Appropriateness of colonoscopy indications according to the new EPAGE II criteria

Gastroenterología y hepatología
Silvia CarriónJaume Boix

Abstract

The appropriateness criteria for colonoscopy developed by a European expert panel (EPAGE), published in 1999, were revised this year (EPAGE II), but have not yet been evaluated. (1) To analyze colonoscopies performed at our hospital, and (2) to evaluate the appropriateness of the new EPAGE II criteria. We retrospectively analyzed 700 colonoscopies (48% males, mean age 58 years). Forty-five colonoscopies (6.4%) were excluded for insufficient bowel preparation or elective indication. EPAGE II criteria classified colonoscopies as "appropriate", "inappropriate" and "uncertain". Ninety-four percent (n=655) of colonoscopies were evaluated. The most frequent indication for colonoscopy (19%) was screening of colorectal cancer (CRC). Seventy percent of colonoscopies were "appropriate", and 18% were "inappropriate", with significant differences according to where the request was made. The most inappropriate indication was postpolypectomy follow-up, due to shorter follow-up intervals. An endoscopic diagnosis was made in 315 patients (48%), with a finding of significant lesions in 25% (n=167; CCR, adenomas, inflammatory bowel disease, angiodysplasia and benign stricture). The indications most frequently associated with relevant findings we...Continue Reading

References

Nov 26, 1999·Endoscopy·M BochudJ J Gonvers
Mar 10, 2007·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·J K HarrisJ-P Vader
Jul 28, 2009·Gastroenterología y hepatología·Ferran González-Huix LladóCarlos Huertas Nadal

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Citations

Jan 19, 2011·Gastroenterología y hepatología·V ArroyoJ G Abraldes
Apr 13, 2017·Journal of Morphology·Claudia Olivera-TlahuelJ Jaime Zúñiga-Vega
Oct 23, 2013·World Journal of Gastrointestinal Endoscopy·Leonidas A BourikasBrian P Saunders

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