Incidence of Inflammatory Bowel Diseases among Patients Referred for Colonoscopy in Al-Kadhimiya Teaching Hospital

Abstract

Background: Colonoscopy is recommended by many international gastroenterology and cancer societies as the initial diagnostic modality for colorectal cancer. It is considered the most accurate diagnostic tool in inflammatory bowel disease.

Inflammatory bowel disease (IBD) is a chronic relapsing and remitting inflammatory disorder of the gastrointestinal tract.  There are two identified subtypes of the disease, ulcerative colitis (UC) and Crohn's disease.

Patients and Methods: Cross sectional study involved 53 patients who underwent colonoscopy in Al-Kadhimiya Teaching Hospital’s endoscopy unit in the period from November 2022 to February 2023, the presenting complaint was recorded as well as the results of colonoscopy.

Results: Bleeding per rectum was the commonest indication for colonoscopy (43.4%) followed by chronic constipation (18.8%), then Chronic abdominal pain (16.9%).

     The commonest pathologies were internal piles 18.8% followed by Polyp and colorectal cancer 15.1%, IBD 11.3%, Non-specific colitis 7.5% then anal fissure and Diverticulosis 3.7%.

Conclusion: the incidence of inflammatory bowel disease was calculated to be 11.3%. the most frequent diagnosis in Al-Kadhimiya Teaching Hospital colonoscopy unit were internal piles, followed by polyp and colorectal cancer.