Kvaliteten af kolonoskopi i Danmark

Introduction: There is an increasing awareness of the need for high-quality endoscopic procedures. Two Danish endoscopy units participated in a European multicenter study which compared technical aspects of the colonoscopy procedure. This paper describes the quality of colonoscopies performed in Danish centres compared to those performed in European centres. Materials and methods: Twenty-two endoscopy centres registered data from 300 colonoscopies each. Data on patient characteristics, indications for colonoscopy, cleansing, success rate (coecum reached), procedure time and procedures performed were registered consecutively in a structured questionnaire. Results: 597 Danish colonoscopies were compared with 5,407 colonoscopies from the European centres. Patient characteristics and indications were comparable. Cleansing was less satisfactory in Denmark (64% vs. 76%). The success rate was lower in Denmark (79% vs. 89%) even though the time taken to reach the coecum was longer (17 minutes vs. 10 minutes) compared to that required in the other European centres. The Danish endoscopists used fluoroscopy to guide the procedure much more often (50% vs. 3.4%). Discussion: These results indicate that a better and more formalised training in colonoscopy is needed in Denmark.