Investigation of the relationship between colonoscopy insertion difficulty factors and endoscope shape using an endoscopic position detection unit.
J Clin Biochem Nutr
; 74(3): 245-252, 2024 May.
Article
em En
| MEDLINE
| ID: mdl-38799137
ABSTRACT
In this study, we investigated the relationship between the cecal intubation time (CIT) and the form and method used for passing through the sigmoid/descending colon junction (SDJ) and the hepatic flexure using an endoscopic position detection unit (UPD), with reference to various factors [age, sex, body mass index (BMI), history of abdominal and pelvic surgery, and diverticulum]. A total of 152 patients underwent colonoscopy with UPD. The mean age was 66.9â
±â
12.4 years, and the male to female ratio was 3.61. The average CIT time was 14.3â
±â
8.2â
min. Age, number of experienced endoscopies, history of abdominal and pelvic surgery, BMI, and diverticulum were associated with prolonged CIT; SDJ passage pattern was straight 8.6â
±â
5.0, alpha loop 11.8â
±â
5.6, puzzle ring-like loop 20.2â
±â
5.0, reverse alpha loop 22.4â
±â
9.7, and other loop 24.7â
±â
10.5. The hepatic flexure passing method was in the following order right rotation maneuver 12.6â
±â
6.6, push maneuver 15.1â
±â
5.9, and right rotation with positional change maneuver 20.5â
±â
7.2. In conclusion, colonoscopy with UPD revealed an association between CIT and SDJ passage pattern and hepatic flexure passing method.
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MEDLINE
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article