Clinical Profile and Endoscopic Findings in Patients Undergoing Colonoscopy: A Single Center Study | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 4, April 2025, Page 107-112 PDF (301.94 K) | ||||
| Document Type: Original Article | ||||
| DOI: https://doi.org/10.21608/aimj.2025.446510 | ||||
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| Authors | ||||
Ahmed Mohamed Saad Elsayed  ; Ahmed Maher Eliwa; Atef Abu ElFetouh Ibrahem
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| Department of Internal Medicine, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt. | ||||
| Abstract | ||||
| Abstract Background: Colonoscopy is an invasive yet safe and efficient procedure utilized for both diagnostic and therapeutic purposes in the detection and management of illnesses affecting the rectum, colon, and terminal ileum. Direct visualization makes it the preferred method for investigating colonic pathology. Aim: To evaluate the clinical profiles and endoscopic outcomes of cases of colonoscopy. Patients and methods: This was a prospective cross-sectional investigation involved 201 cases who were indicated for colonoscopy at endoscopy unit, Internal Medicine Department in Al-Azhar University hospitals. Results: The most frequent indication was bleeding per rectum, accounting for 22.9% of cases, followed by chronic abdominal pain (18.9%) and constipation (18.4%). According to Endoscopic findings, piles and polyps were among the most common findings, accounting for 17.9% of cases, while 2.0% had angiodysplasia, 5.5% had diverticulosis, and 14.9% had erosions. Masses were found in 3.0%, terminal ileum nodularity in 4.0% and ulcers were observed in 11.9% of cases. 22.9% had normal findings. The results highlight the correlation between specific clinical symptoms and endoscopic findings, aiding in the identification and management of colorectal pathology. Conclusion: The study highlighted the importance of colonoscopy in diagnosing conditions like inflammatory bowel disease (IBD), colorectal cancer (CRC), and adenomatous polyps. It also emphasized the role of early detection and surveillance, particularly in cases with red flag symptoms like rectal bleeding. It also calls for further research to explore the underlying factors influencing colonoscopy referrals and outcomes in different populations. | ||||
| Keywords | ||||
| Colonoscopy; clinical profiles; Bleeding per rectum | ||||
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