{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:58:53Z","timestamp":1775473133971,"version":"3.50.1"},"reference-count":24,"publisher":"Medical Association of Zenica-Doboj","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2020,10,9]]},"abstract":"<jats:p>&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Aim&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;To evaluate the pattern of indications and a spectrum of colonic pathology, and to determine appropriateness of indications for colonoscopy in order to improve patient selection for colonoscopy.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Methods &amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt;This retrospective study includes 294 patients who were referred to the Gastroenterology Department from a primary care&amp;lt;br \/&amp;gt;physician in order to approach endoscopic examination. Study data included patients&amp;amp;rsquo; anamnestic data (comorbidities, positive family history, performed radiological examinations) an indication for the procedure, and colonoscopy findings.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Results&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;Haematochezia was confirmed in 186 (63.26%), positive radiologic finding in183 (62.24%) and anaemia in 157 (53.40%)&amp;lt;br \/&amp;gt;patients. Adenoma and colorectal carcinoma were detected in 40 (13.6%) and 53 (18%) patients, respectively. A significant association between haematochezia and colorectal neoplasm was confirmed (p=0.019), haematochezia and inflammatory bowel disease (p=0.027), and between radiological finding and colorectal neoplasm (p=0.018). There was no significant association between anaemia and any of the colonoscopic findings. According to EPAGE II criteria indications were appropriate in 187 (63.6%), uncertain in 67 (22.8%) and inappropriate in 40 (13.6%) patients.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Conclusion &amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt;This study confirmed a slightly larger number of uncertain and inappropriate indications for colonoscopy compared&amp;lt;br \/&amp;gt;to other studies that examined indications for colonoscopy, which can be attributed to a high number of patients with functional bowel disorders.&amp;amp;nbsp;&amp;lt;\/p&amp;gt;<\/jats:p>","DOI":"10.17392\/1248-21","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T10:28:16Z","timestamp":1713695296000},"page":"84-89","source":"Crossref","is-referenced-by-count":0,"title":["Appropriateness of colonoscopy at a tertiary care centre \u2013 are we overdoing gastrointestinal endoscopy?"],"prefix":"10.17392","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1424-1628","authenticated-orcid":false,"given":"Nerma","family":"\u010custovi\u0107","sequence":"first","affiliation":[{"name":"University of Sarajevo","place":["Sarajevo,Bosnia and Herzegovina"],"department":["Clinic for Gastroenterohepatology, Clinical Centre"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lejla","family":"D\u017eananovi\u0107","sequence":"additional","affiliation":[{"name":"University of Sarajevo","place":["Sarajevo,Bosnia and Herzegovina"],"department":["Statistics and Epidemiology Department, School of Medicine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismar","family":"Ra\u0161i\u0107","sequence":"additional","affiliation":[{"name":"General Hospital \u201cPrim.dr. Abdulah Naka\u0161\u201d","place":["Sarajevo,Bosnia and Herzegovina"],"department":["Department of Surgery"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nad\u017ea","family":"Zub\u010devi\u0107","sequence":"additional","affiliation":[{"name":"University of Sarajevo","place":["Sarajevo,Bosnia and Herzegovina"],"department":["Clinic for Gastroenterohepatology, Clinical Centre"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lejla","family":"\u0160aranovi\u0107-\u010ce\u010do","sequence":"additional","affiliation":[{"name":"Cantonal Hospital Zenica","place":["Zenica,Bosnia and Herzegovina"],"department":["Department for Gastroenterohepatology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasmina","family":"Red\u017eepagi\u0107","sequence":"additional","affiliation":[{"name":"University of Sarajevo","place":["Sarajevo,Bosnia and Herzegovina"],"department":["Clinic for Pathology, Clinical Centre"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"49509","published-online":{"date-parts":[[2020,10,9]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"94","DOI":"10.4253\/wjge.v7.i2.94","article-title":"Colonoscopy appropriateness: really needed or a waste of time?","author":"AGimeno-GarciaA","year":"2015","unstructured":"Gimeno-Garcia AZ, Quintero E. 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Gastroenterol He-\npatol 2015; 38:313-9.","journal-title":"Gastroenterol Hepatol"}],"container-title":["Medicinski Glasnik"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medicinskiglasnik.ba\/article\/366\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicinskiglasnik.ba\/article\/366\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:45:11Z","timestamp":1775468711000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicinskiglasnik.ba\/article\/id\/448\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,9]]},"references-count":24,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,10,9]]},"published-print":{"date-parts":[[2020,10,9]]}},"URL":"https:\/\/doi.org\/10.17392\/1248-21","archive":["Internet Archive"],"relation":{},"ISSN":["1840-0132","1840-0132"],"issn-type":[{"value":"1840-0132","type":"electronic"},{"value":"1840-0132","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10,9]]}}}