Giris ve amaç: Biyopsi ve polipektomiyi de içeren fleksibl fiberoptik kolonoskopi, birçok gastrointestinal bozuklukta önemli bir tani ve tedavi aracidir. Bunun yaninda, dogru tani için çekuma ulasabilme tamamlayi ci bir faktördür. Bu arastirmanin amaci merkezimizdeki genis bir seri ile kolonoskopik islem ve histopatolojik bulgu sonuçlarini sunmaktir. Gereç ve yöntem: Dicle Üniversitesi Gastroenteroloji Klinigi Endoskopi Merkezi’nde Ocak 2003 ile Mayis 2006 tarihleri arasinda kolonoskopi yapilan ve yaslari 16 ile 81 arasinda degisen 322 (141 kadin, 181 erkek) hasta retrospektif olarak degerlendirildi. Demografik veriler ve koloskopi ve lezyonlarin histopatolojik sonuçlari kaydedildi. Basari orani çekuma ulasabilme olarak tanimlandi. Bulgular: Üç buçuk yilda toplam çekuma ulasma basari orani %78 idi ve bu oran çalisma periyodu boyunca artarak en yüksek orana son çalisma yilinda (%86.7) ulasmistir. Tüm hastalarin %49.7’inde normal bulgular vardi. En sik karsilasilan lezyonlar hemoroidler, polipler, ülser ve kitleler idi. En sik kitle histopatolojisi adenokarsinom, ülser histopatolojisi ülseratif kolit ve polip histopatolojisi ise hiperplastik ve adenomatöz polip olmustur. Bu seride bir hastada perforasyon gelisirken, ölüm ile karsilasilmamistir. Sonuç: Analizimiz geçerli kilavuzlara yakin çekuma ulasma ve dökümantasyon oranlari ortaya koymustur. Daha iyi bir basari için yeni teknolojik ürünle ihtiyaç vardir.
Background/aim: Flexible fiberoptic colonoscopy, including biopsy and polypectomy, is an important diagnostic and therapeutic instrument in many indications of gastrointestinal disorders. Furthermore, cecal intubation is a complementary factor in an accurate diagnosis. The purpose of this research was to present a large case series of colonoscopic procedures and histopathological findings in our center. Materials and methods: A total of 322 patients (141 female, 181 male) between 16 and 81 years of age who underwent colonoscopy in the endoscopy center of Dicle University Gastroenterology Clinic from January 2003 to May 2006 were reviewed retrospectively. Demographic data and colonoscopic and histopathologic findings of the lesions were recorded. The success rate was defined as intubating proximal to the initial area of impasse and entering the cecum. Results: The overall adjusted cecal intubation rate for the entire 3.5 years was 78%, and increased over the study period, with the highest adjusted rate (86.7%) in the most recent year studied. Of all patients, 49.7% had normal findings. The most frequently encountered lesions were hemorrhoids, polyps, ulcers and masses. The most common mass histopathology was compatible with adenocarcinoma, ulcer histopathology with ulcerative colitis and polyp histopathology with hyperplastic and adenoma. One perforation was observed in this series, but no mortality occurred. Conclusions: Our analysis revealed approximate cecal intubation and documentation rates that meet current guidelines. To achieve better results, new technological devices are necessary.