Zainal Abidin, Fatimah Nabilah and Elagili, Faisal and Md Nor, Azmi and Salmi, Irfan
(2025)
Retrospective analysis of colonoscopy findings in
symptomatic patients under 50 years.
Colorectal Disease, 27 (Supplement 1).
pp. 313-314.
ISSN 1462-8910
E-ISSN 1463-1318
Abstract
Aim: Colonoscopy is done in younger patients nowadays despite benign nature of disease in majority of this population. The diagnostic yield of colonoscopy has been considered one of the measures for appropriateness of colonoscopy in young adult. This study aim to evaluate the yield of colonoscopy in young adults whom are symptomatic.
Methods: A retrospective analysis on colonoscopy findings was done in a single tertiary center in Malaysia. Study period was from January 2017 till June 2023. Patient aged 18 to 49 years old whom were symptomatic according to ASGE guideline were recruited. We excluded patient underwent diagnostic surgery and surveillance colonoscopy
Results: Total 389 patients were analyzed. 51.4% of patients were female. Majority of patients were Malay (94.3%) and have no other comorbidity ( 81.5%). Only 0.02% patients have association with family history of colorectal cancer. Commonest indication for colonoscopy is alteration of bowel habits (37.1%) followed by rectal bleeding (31.2%) and abdominal pain (25.5%). Other indication includes symptomatic anemia and unexplained weight loss . Complete
colonoscopy achieved in 81.5% patients. Various pathology were detected in one third of patients. Hemorrhoidal disease make up majority of findings (22.1%) . Colorectal carcinoma seen in 3% patient , 2/3 of them presented as obstructing tumor during colonoscopy. Most patient were stage III and IV during presentation, and associated with aggressive type , such as mucinous and signet cell carcinoma. Hyperplastic polyp makes up 65.4% patients followed by tubular adenoma , low grade dysplasia (29%). Advanced adenoma seen in two patients only. Adenoma detection rate is 4.6%.
Diverticulum was seen in 4.1 % patients while Inflammatory bowel disease was seen in 2.8% of patient.
Conclusion: Diagnostic colonoscopy provide almost 30% yield when done symptomatic patient before screening age . Young adult benefit from colonoscopy especially when they are symptomatic.
Disclosure of Interest: No conflict of interest.
Actions (login required)
 |
View Item |
Download Statistics
Download Statistics