Double-Balloon Colonoscopy Has a Higher Cecal Intubation Rate Than Conventional Colonoscopy Using a Colon Simulator

Sunada, Keijiro; Shinozaki, Satoshi; Yano, Tomonori; Hayashi, Yoshikazu; Sakamoto, Hirotsugu; Lefor, Alan Kawarai; Yamamoto, Hironori

doi:10.1007/s10620-017-4477-2

Cited by 3 publications

(3 citation statements)

References 11 publications

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“…To increase CIR, various techniques such as water infusion and carbon dioxide insufflation, and also various device modifications like pediatric, robotic, double balloon, long or very thin colonoscopy usage have been reported. [3,8,9] For most of the patients, colonoscopy is a painful and disturbing procedure. Discomfort felt during the procedure is one of the most important reasons for reducing CIR and patient satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Does Propofol Sedation Increase the Cecal Intubation Rate in Colonoscopy?

Tardu¹

2017

Laparosc Endosc Surg Sci

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Section: Discussionmentioning

confidence: 99%

Does Propofol Sedation Increase the Cecal Intubation Rate in Colonoscopy?

Tardu¹

2017

Laparosc Endosc Surg Sci

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“…A recent randomized, controlled, crossover study compared the cecal intubation rate (CIR) and learning curve for DBC in endoscopy-naïve medical students using a physical colonic simulator, versus those performing conventional colonoscopy. The DBC group had a higher CIR compared to the conventional colonoscopy group (73% vs. 7%, p <0.001) [ 13 ]. Thus, DBC could be a valuable teaching option for cecal intubation, shortening the training period, and possibly reducing the need for colonoscopy training.…”

Section: Techniques Facilitating the Insertion Of The Colonoscopymentioning

confidence: 99%

Training in Endoscopy: Colonoscopy

Jang¹

2017

Clin Endosc

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Colonoscopy is effective in reducing the morbidity and mortality associated with colorectal cancer (CRC). Interval cancers or post-colonoscopy CRCs, are cancers detected within the surveillance interval, or between 6–36 months after a clearing colonoscopy. The incidence of interval cancers is 3.4%–9.2% of all detected CRCs, as reported in population-based studies. Colonoscopy is a technically difficult procedure that is challenging to learn, and needs time and effort to gain competency. Therefore, trainee competence is a critical component of CRC screening and surveillance. Herein, we review the colonoscopy training methods and quality assessment metrics for colonoscopy competency.

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“…DBC is considered as an effective procedure for cecal intubation following an initial incomplete colonoscopy. Reports suggest a higher CIR as compared to the conventional colonoscopy, which suggest that it may be a productive educational option for cecal intubation, minimising the training time and eventually reduce the call for suitable training in colonoscopy procedures (9). Abdominal compression may be initiated on the abdomen segment where a loop is anticipated, however, the air insufflation technique keeps the colon lengthy and protracted making it cumbersome to progress effectively with the colonoscope.…”

Section: Introductionmentioning

confidence: 99%

Kolonoskopi Sırasında Hasta Pozisyonunun Değiştirilmesinin Kolonoskopi Süresi, İleal Entübasyon Oranı Ve Polip Sayısına Etkisi

AKTÜRK¹,

SERİNSÖZ²

2022

Journal of Immunology and Clinical Microbiology

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Objective: Colonoscopy is universally considered as the conventional tool for the identification and removal of adenomatous polyps. The aim was to evaluate the effect of position change on the cecal and ileal intubation rates and the detection rate of polyps. In this way, it is aimed to accelerate the colonoscopy procedure time and increase its sensitivity. Methods: The study included 943 patients aged between 17 and 90 years presented for a diagnostic colonoscopy at our hospital surgery clinic from January 2008 to December 2018. Results: The results indicated significantly lower median cecal and ileal intubation time and higher polyps detection rate owing to change in the patient’s posture to supine than in the left lateral position during colonoscopy procedure (p<0.0001). Moreover, cecal (p<0.0001) and ileal (p=0.001) intubation time was negatively correlated with the number of polyps detected. The age of the participating patients was the demographic factor found to be positively correlated with the number of polyps detected (p<0.0001). Furthermore, changing the patient’s posture to supine led to an 11% increase in the polyp detection rate in the cecum, ascending colon, and hepatic flexure combined regions (p<0.0001). The odds of detection of polyps in this region were 2.11 (95%CI, 1.60-2.78) times higher in supine posture compared to the left lateral position. Conclusion: The above findings strengthen the relevance of the position of the patient in the polyp detection rate during colonoscopy procedures.

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Double-Balloon Colonoscopy Has a Higher Cecal Intubation Rate Than Conventional Colonoscopy Using a Colon Simulator

Abstract: DBC has a higher cecal intubation rate than CC performed by endoscopy naïve medical students using a colon simulator in this randomized-controlled, cross-over study.

Cited by 3 publications

References 11 publications

Does Propofol Sedation Increase the Cecal Intubation Rate in Colonoscopy?

Does Propofol Sedation Increase the Cecal Intubation Rate in Colonoscopy?

Training in Endoscopy: Colonoscopy

Kolonoskopi Sırasında Hasta Pozisyonunun Değiştirilmesinin Kolonoskopi Süresi, İleal Entübasyon Oranı Ve Polip Sayısına Etkisi

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