Patterns of Lower Gastrointestinal Endoscopic Findings at Jimma University Medical Center, Jimma, Ethiopia

Background: Lower gastrointestinal (GI) disorders are common causes of morbidity worldwide, yet data on their prevalence and patterns within resource-limited settings like Ethiopia remain scarce. Endoscopy is a vital diagnostic and therapeutic tool for these conditions. Objectives: To assess the patterns of lower GI endoscopic findings at Jimma University Medical Center (JUMC) and explore associations with demographic and clinical variables. Methods: This retrospective, descriptive cross-sectional study included 216 adult patients (≥15 years) who underwent lower GI endoscopy at JUMC from September 9, 2021, to September 8, 2022. Patients with incomplete records or repeat procedures were excluded. Data on demographics, indications, and findings were collected using a structured tool and analyzed with SPSS v29.0. Descriptive statistics summarized the data; chi-square and multivariate logistic regression tested associations, with significance at p<0.05. Results: Of 230 procedures, 216 met inclusion criteria. The mean age was 43.6 ± 16.2 years, with a male predominance (68.5%). The most common indication was lower GI bleeding (35.2%). Hemorrhoids were the most frequent endoscopic finding (46.3%), followed by colorectal polyps (21.2%) and colorectal cancer (11.1%). Benign lesions predominated, but the notable prevalence of polyps and cancers underscores the importance of early detection strategies. Conclusions: Benign conditions, especially hemorrhoids, are prevalent among patients undergoing lower GI endoscopy at JUMC. However, the significant rates of polyps and cancers underscore the importance of expanding endoscopic services, enhancing training, and implementing community screening programs to improve early detection and management.