Factors that predict cecal insertion time during sedated colonoscopy: The role of waist circumference

Hsieh, Yu Hsi; Kuo, Cheng–Deng; Tseng, Kuo‐Chih; Lin, Hwai Jeng

doi:10.1111/j.1440-1746.2006.04818.x

Cited by 51 publications

(62 citation statements)

References 15 publications

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“…It reduces cecal intubation, 1 leads to missed diagnosis, 2-4 slows intubation 5 and withdrawal, 3 makes electrocautery dangerous, 6 and increases the cost of colonoscopy delivery. 7 In the present study, we investigated whether a patient's description of the color and consistency of the last rectal effluent before colonoscopy could predict the quality of bowel preparation at colonoscopy, and we evaluated other clinical factors as predictors of preparation quality.…”

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confidence: 99%

Patients' description of rectal effluent and quality of bowel preparation at colonoscopy

Fatima

Johnson

Rex

2010

Gastrointestinal Endoscopy

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confidence: 99%

Patients' description of rectal effluent and quality of bowel preparation at colonoscopy

Fatima

Johnson

Rex

2010

Gastrointestinal Endoscopy

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“…Older age was associated with longer CIT, as the elasticity of the colon decreases and loops are formed more easily with increasing age 8. Previous studies also found that patients with lower BMI were more difficult to intubate 8,9. BMI is correlated with visceral fat, and there is more robust colon support when there is more visceral fat, resulting in less loop formation during CS.…”

Section: Discussionmentioning

confidence: 95%

Correlation between obesity and metabolic syndrome-related factors and cecal intubation time during colonoscopy

Kawasato¹,

Hashimoto²,

Shirasawa³

et al. 2017

CEG

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PurposeTo investigate which colonoscopy (CS) cases should be presided over by endoscopists in training, using factors including obesity and metabolic syndrome.Patients and methodsItems investigated were sex, age, body mass index (BMI), waist circumference, hypertension, diabetes, hyperlipidemia, history of abdominal surgery (excluding colectomy), colon diverticulosis, prescription of antithrombotic agents, and quality of bowel preparation. Expert physicians were defined as those with at least 9 years of endoscopy experience; all other physicians were defined as being in training. In a retrospective analysis, cases in which a physician in training reached the cecum within 15 minutes without requiring the involvement of the supervising physician were defined as eligible cases over which a physician in training should preside, while other cases were defined as non-eligible.ResultsOverall, 813 CS cases were analyzed. Males (P<0.0001), cases started by an expert physician (P<0.0001), cases of no fellow physician involvement (P<0.0001), and cases with good bowel preparation (P<0.0001) had significantly shorter cecal intubation times. Of the 562 cases presided over by a physician in training, 194 were deemed eligible and 368 non-eligible. The eligible cases had a higher proportion of males (P=0.017), younger age (P=0.033), higher BMI (P=0.034), and higher rates of hypertension (P=0.001) and good bowel preparation (P=0.001). In analysis by sex, males demonstrated significantly more eligible cases among younger patients (P=0.009) and those with good bowel preparation (P=0.008), while there were significantly more eligible cases among females with hypertension (P=0.004).ConclusionIt may be useful to select CS cases for physicians considering sex, age, BMI, hypertension, and bowel preparation.

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“…If the gastroenterologist was unable to reach the cecum, the time and location of the furthest point reached were recorded. Time was considered relevant because reaching the cecum tends to occur more efficiently and rapidly when there is no stool present (Hsieh, Kuo, Tseng, & Lin, 2008;Zuber-Jerger, Endlicher, & Gelbmann, 2008).…”

Section: Measurement Methods/instrumentsmentioning

confidence: 99%

A National Study Comparing the Tolerability and Effectiveness of Colon-Cleansing Preparations

Daniels

Schmelzer²,

Handy³

et al. 2012

Gastroenterology Nursing

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The aim of this multisite study (N = 412) was to identify which colon-cleansing preparations used before colonoscopy work best with specific patient populations. A comparative, descriptive approach was used to (1) describe bowel-cleansing preparations being used across the United States, (2) compare their cleansing effectiveness and tolerability, and (3) compare their effectiveness in patients with various health characteristics. A descriptive demographic data form adapted from the Society of Gastroenterology Nurses and Associates Minimum Data Set was used to collect baseline information, identify preprocedure instructions, and describe compliance with preparations. Subjects completed an 11-item subject experience with the bowel-cleansing form before their colonoscopy. A colon cleanliness scale was completed during the colonoscopy to evaluate the effectiveness of the preparation. The preparations revealed a "good" to "excellent" rating and there was no statistical difference in the cleansing effectiveness of the preparations. Subjects experienced a variety of discomforts. Future studies that involve the pooling of data from multiple sites in different geographical areas may provide more precise criteria for the selection of colon-cleansing preparation for specific patients and increase the cultural diversity of the sample.

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Factors that predict cecal insertion time during sedated colonoscopy: The role of waist circumference

Abstract: Female sex, poor bowel preparation, smaller waist circumference, lower body mass index and older age were associated with a longer insertion time. Waist circumference was a better predictor than body mass index in assessing cecal insertion time.

Cited by 51 publications

References 15 publications

Patients' description of rectal effluent and quality of bowel preparation at colonoscopy

Patients' description of rectal effluent and quality of bowel preparation at colonoscopy

Correlation between obesity and metabolic syndrome-related factors and cecal intubation time during colonoscopy

A National Study Comparing the Tolerability and Effectiveness of Colon-Cleansing Preparations

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