Complications Following Ambulatory Colonoscopy Under Anesthesia In Colorectal Cancer Screening Program at Rattanaburi Hospital
Keywords:
Anesthesia, Colonoscopy, One day surgeryAbstract
According to upward trend of colon cancer incidence rate, the patients underwent colonoscopies for colon cancer screenings have increased. The purpose of this retrospective cross sectional research was to evaluate the prevalence of complications after ambulatory colonoscopy under anesthesia in colorectal cancer screening program at Rattanaburi hospital. The preoperative, intraoperative and postoperative data of this research were collected from 50-70 year-old patients with fecal immunochemical test positive undergone ambulatory colonoscopy at Rattanaburi hospital in September 2022.
Results: Samples 43 patients, 60.5% were female, mean age was 56.9 years old (SD=5.3) and 83.7% were in American society of anesthesiologist (ASA) physical status II. Patients 74.4% had comorbidity, most were hypertension (18.6%) and dyslipidemia (18.6%). All patients had informed about colonoscopy at pre-anesthetic clinic (100%). Peri-operative complications were hypotension in 3 patients (7.0%) and nausea&vomiting in 2 patients (4.7%), these complications were corrected by medication. All patients were discharged within 24 hours, and there was no case who admitted from complication within 30 days from colonoscopy. One patient was postponed due to inadequate colon preparation (2.3%). In conclusion, ambulatory colonoscopy under anesthesia appeared to be safe with minor complications.
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