Causes of failure of complete colonoscopy at the University Hospital Center (CHU) of Cocody, Abidjan (Côte-d’Ivoire)

• Published in: Acta endoscopica 2015-12, Vol.45 (6), p.291-296
• Main Authors: Okon, A. J. B., Thot’o, A. S., Soro, D., Diakité, M., Ouattara, A., Koné, A., Koné, S., Eloumou, B. S. A. F., Assi, C., Allah-kouadio, E., Lohoues, K. M. J., N’dri, N.
• Format: Article
• Language: English
• Subjects: Abdominal Surgery; Article Original; Gastroenterology; Gynecology; Interventional Radiology; Medicine; Medicine & Public Health; Oncology; Original Article; Urology
• ISSN: 0240-642X; 1958-5454
• DOI: 10.1007/s10190-015-0515-4

Purpose To determine the factors associated with incomplete colonoscopy at University Hospital Center (CHU), Cocody. Materials and methods This was a retrospective study during the period September 1, 1993 to August 15, 2009, with the register of interested colonoscopies at CHU, Cocody. All reports of colonoscopies were included. The parameters studied were: the reason for the colonoscopy, age, sex, quality of bowel preparation, the presence of loops or spasms during the examination, the results of colonoscopy, and the crossing or not the cecum. Analysis of the results was done using SPSS Version 17.0 software. Results One thousand one hundred and fifty to eight colonoscopies were performed. The age of the patients ranged from 10 to 96 years with an average of 45.78 years and a sex ratio (M/F) of 1.36. Colonoscopy was incomplete in 17.3% of cases. In multivariate analysis, abdominal pain (OR = 1.90, 95% CI: [1.30–3.05], P = 0.01), bowel preparation (OR = 2.83, 95% CI: [2,22–3.61], P = 0.0001), absence of sedation (OR = 2.45, 95% CI: [1.92–3.13], P = 0.0001), and diverticular disease (OR = 2.10, 95% CI: [1.03–4.23], P = 0.02) were correlated with incomplete colonoscopy. Conclusion Our study showed a complete colonoscopy rate below recommendations. Factors related to this failure were poor bowel preparation, lack of sedation, and diverticular disease. An identification of these factors would enhance the quality of the colonoscopy for an easier accessibility to the cecum.