E Ray-Offor, FWACS, FMAS, DMASInd1, G B Gbaanador, FACS2, C C Obiorah, FMCS3, N J Jebbin, FWACS4. 1Oak Endoscopy Centre Port Harcourt, 2Shawsand Medical Centre Port Harcourt Rivers State nigeria, 3Department of Anatomical Pathology University of Port harcourt Teaching Hospital Port Harcourt Rivers State Nigeria, 4Department of Surgery University of Port Harcourt Teaching Hospital Port Harcourt Rivers State Nigeria
Background: Colorectal cancer is a disease of global importance with a known risk of cancer from adenomatous polyps. The practice and formulation of effective health policies in developing countries is marred by lack of appropriate colorectal cancer screening and up-to-date cancer registry.
Aims: To study the prevalence of colonic neoplasms in a Sub-Saharan African population.
Patients and methods: An observational study of all colonoscopies performed in Port Harcourt metropolis of Nigeria from 2013 to 2016. A pro forma was sent for completion to Gastro-Intestinal (GI) endoscopists practising within the metropolis. Variables studied were demographics, indications, endoscopic findings and histopathology. Statistical analysis was done using SPSS version 20.
Results: Data from two Surgical endoscopists were accessible for analysis. A total of 172 colonoscopies were performed during the study period. There were 130 males and 42 females with age range of 4 to 86 years. The presenting complaints included: bleeding per rectum 102(59%), change in bowel habit 17(10%) and screening 8(5%) cases. There was no malignant polyp recorded; however, 30(17%) benign polyps with 7 inflammatory polyps, 4 adenomas with dysplasia and 4 hyperplastic polyps seen. A case of ulcerative colitis was seen and 9 (5%) malignant neoplasms, mostly adenocarcinomas (78%) of rectal origin (78%).
Conclusion: A screen colonoscopy is a cost-effective recommendation for secondary prevention of colorectal cancer in our environment.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79979
Program Number: P253
Presentation Session: Poster (Non CME)
Presentation Type: Poster