Constipation is not associated with an increased rate of findings on colonoscopy: results from a national endoscopy consortium.

Endoscopy
M GuptaG Eisen

Abstract

There are no definite guidelines regarding colonoscopic evaluation for the indication of constipation, a common gastrointestinal complaint. The aim of our study was to determine the risk of finding significant lesions in patients undergoing colonoscopy for the indication of constipation alone compared with constipation with another indication or average-risk screening. A retrospective review of the Clinical Outcomes Research Initiative database was carried out for colonoscopies undertaken between 1 January 2000 and 30 June 2003. A total of 41,775 index colonoscopies performed for the indications of average-risk screening, constipation only or constipation with another indication were identified. Logistic regression analyses were performed for constipation alone versus constipation with another indication, and for constipation alone versus average-risk screening. Constipation alone did not show any increased risk of significant findings on colonoscopy. Constipation and the presence of another indication, however, had a statistically significant increased risk of a significant finding on colonoscopy. The indication of constipation alone had a lower risk of significant findings on colonoscopy compared with average-risk screening. ...Continue Reading

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Citations

Oct 19, 2012·Surgical Endoscopy·Eu Jin TanKee Yuan Ngiam
Jun 22, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·E C ObusezB Shen
Aug 26, 2014·Gastrointestinal Endoscopy·Brooks D CashAmy Wang
Oct 10, 2015·Current Gastroenterology Reports·Hani Sbahi, Brooks D Cash
Apr 6, 2016·Gastroenterología y hepatología·Jordi SerraFermín Mearin Manrique
Mar 9, 2011·Best Practice & Research. Clinical Gastroenterology·Satish S C Rao, Kalyani Meduri
Aug 11, 2010·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Seung-Jae MyungUNKNOWN Korean Society of Neurogastroenterology and Motility
May 28, 2016·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Fermín MearinJavier Júdez

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