Volume 11 , Issue 4 , December 2021 , Pages 407-419
Sarkawt Raouf M. Ameen 1 ; Muhsin Abubakr Mohammed 2 ; Mohammed Alshaikhani Alshaikhani 2 ; Mohammed Omer Mohammed 2 ; Taha Ahmed Al-Karbuly 2 ; Dana Taib Gharib 1 ; Araz Latif 1
1 Directorate of Health, Ministry of Health, Kurdistan Region, Iraq.
2 College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.
Background
Colorectal carcinoma is a common malignancy in Sulaimani city. Thousands of colonoscopies are conducted
yearly for screening and diagnosis of colorectal pathologies, especially colorectal polyps and colorectal
carcinoma. High-quality colonoscopy is the key to its success in detecting colorectal lesions like polyps,
cancers.
Objectives
To assess the polyp detection rate, the adenoma detection rate and evaluate different polyp retrieval methods
in patients undergoing colonoscopy in Sulaimani city
Patients and Methods
A clinical perspective follows up a study conducted in Kurdistan centre of Gastroenterology and Hepatology
(KCGH) in Sulaimani city-Kurdistan region/ Iraq for one year from 1st November 2019 to 31st October 2020
on 2000 patients undergoing colonoscopy. All the patients were examined and diagnosed by the researcher.
Results
The polyp detection rate among patients undergoing colonoscopy was (34%), while the adenoma detection rate
among patients undergoing colonoscopy was (22.1%); ADR was 22.7% for males and 21.3% for females. The
mean age of patients who had polyps was significantly higher than those who had no polyps (p<0.001). The
mean age of patients with adenomatous polyps was significantly higher than the mean age of patients with
non-adenomatous polyps (p<0.001). The polyp retrieval rate was (92%). There was a significant association
between failure in polyps’ retrieval and diminutive polyps’ size (p=0.01).
Conclusion
The polyp detection rate and adenoma detection rate in this study were consistent with the international
rate. The polyp retrieval rate is within the acceptable international rate, although retrieval methods varied
according to the size and location of the polyps.