Objective: Colonoscopy is a gold standard procedure for several colon pathologies. Successful colonoscopy means
demonstration of the ileocecal valve and determination of colon polyps. Here we aimed to evaluate our colonoscopy success and results.
Material and Methods: This retrospective descriptive study was performed in İstanbul Eren hospital endoscopy unit
between 2012 and 2015. Colonoscopy results and patient demographics were obtained from the hospital database.
All colonoscopy procedures were performed under general anesthesia and after full bowel preparation.
Results: In all, 870 patients were included to the study. We reached to the cecum in 850 (97.8%) patients. We were
unable to reach the cecum in patients who were old and obese and those with previous lower abdominal operations. Angulation, inability to move forward, and tortuous colon were the reasons for inability to reach the cecum.
Total 203 polyp samplings were performed in 139 patients. We performed 1, 2, and 3 polypectomies in 97, 28, and
10 patients, respectively. There were 29 (3.3%) colorectal cancers in our series. There was no mortality or morbidity
in our study.
Conclusion: General anesthesia and full bowel preparation may be the reason for increased success of colonoscopy.
Increased experience and patient-endoscopist cooperation increased the rate of cecum access and polyp resection
and decreased the complication rate.