Colonoscopic findings in patients younger than 40 years

Journal of Coloproctology - Tập 39 - Trang 132-137 - 2019
Lana Ferreira Moreira1,2, Elisângela Suzarth Gonçalves dos Santos2,3, Taísa Maria Brito Amorim1,2, Rafaela Mendonça Leal1,2, Adriana Conceição de Mello Andrade1,2, Carlos Ramon Silveira Mendes2,4,5,6
1Faculdade de Tecnologia e Ciências, Salvador, BA, Brazil
2Hospital Geral Roberto Santos, Serviço de Coloproctologia, Salvador, BA, Brazil
3Universidade do Estado da Bahia (UNEB), Salvador, BA, Brazil
4Hospital Santa Izabel, Serviço de Coloproctologia, Salvador, BA, Brazil
5Sociedade Brasileira de Coloproctologia, Salvador, BA, Brazil
6Hospital Cárdio Pulmonar, Serviço de Coloproctologia, Salvador, BA, Brazil

Tóm tắt

Abstract Objective To analyze the main endoscopic findings in patients under 40 years of age and the main indications for colonoscopy in these patients. Methods A retrospective study with 362 reports of patients under 40 years of age who underwent colonoscopy from January 2014 to June 2017 at the colonoscopy service of the General Hospital Roberto Santos. Colon preparation was performed with mannitol and the patients underwent sedation as the anesthetist criteria. Results Of the 362 patients analyzed, 192 (53%) were female. The mean age was 25 years (25.58 ± 11.95). The most frequent indications were inflammatory bowel disease in 24.3% (88) of the patients, bleeding in the lower digestive tract in 24% (87), and chronic diarrhea in 20.2% (73). The main colonoscopic findings were polyposis in 21.3% (77) of the patients and inflammatory alterations in 20.7% (75). Conclusion With the analysis of the data provided by the colonoscopies, it was possible to conclude that, when the investigation is adequate and the examination is well indicated, even under the age of 40, colonoscopy can help in the diagnostic and treatment of several pathologies, including those that may increase the risk of colorectal cancer.

Tài liệu tham khảo

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