Should We Revise Colonoscopy Indication Criteria; Revised and Updated?

Abstract

Colonoscopy is the most accurate technique for the diagnosis, surveillance, or exclusion of important colorectal diseases.
In general, the indications for colonoscopy have expanded since its inception and are likely to differ between countries,
depending on the available resources and the perceptions of local healthcare experts in that country regarding the benefits,
costs, and risks of colonoscopy relative to other diagnostic strategies. This study was designed to evaluate the indication,
endoscopic finding, complications and therapeutic consequences. It includes 106 colonoscopies patients referred from
Emergency Department. Patients admitted to medical department, follow up patients of colon cancer and patients having
anemia or altered bowel habit. The results showed that positive findings were in 42% of patients who had colonoscopy
and were more in anal region. Most of them had history of abdominal pain, altered bowel habit and constipation. Subjects
aged 70 years and more who have anaemia and haematochezia are turned to have serious diseases as colonic cancer. As
colonoscopy still the gold standard tool to explor colonic abnormalities, further larger multicentric studies are required
to evaluate colonoscopy indications to determine whether they should be included in future revisions of the guidelines.