Prospective assessment of colonoscopic intubation skills in trainees

Chak, Amitabh; Cooper, Gregory S.; Blades, Edmond W.; Canto, M. I.; Sivak, Michael

doi:10.1016/s0016-5107(96)70229-8

Cited by 115 publications

(83 citation statements)

References 8 publications

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“…It has been stated that a "reasonable standard" would be cecal intubation within 15 minutes or less. 1 The 4 physicians in the current study showed a large amount of variation in their average time to reach the cecum (6.5 to 23.8 minutes). This seemed to be related to the number of previous procedures completed before beginning the study.…”

Section: Discussionmentioning

confidence: 61%

“…However, when considering endoscopists in training, the rate of successful cecal intubation is usually lower than 90%. 1,3,5,8,14,17,19 The 4 physicians in our study all had cecal intubation rates greater than 90%, suggesting that they meet the most widely studied standard in achieving technical competence in colonoscopy.…”

Section: Discussionmentioning

confidence: 65%

“…[1][2][3][4] Although benchmarks have been poorly defined in the past, standards are now becoming more apparent. The literature suggests that the colonoscopist should be able to reach the cecum more than 90% of the time (Table 6).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Colonoscopy in Rural Communities: Can Family Physicians Perform the Procedure with Safe and Efficacious Results?

Edwards

Norris²

2004

The Journal of the American Board of Family Medicine

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Background: Colonoscopy is becoming increasingly necessary for many patients in screening, diagnosing, and treating colorectal problems. Because the majority of rural doctors are family physicians, providing colonoscopy for the enlarging group of patients with valid indications in rural areas is difficult, unless rural family physicians perform the procedure. Subspecialists in academic settings have been responsible for most of the previously reported studies regarding colonoscopy. We have studied the safety and efficacy of the procedure when performed by rural family physicians.Methods: A total of 200 sequential colonoscopies performed by family physicians in a rural setting were prospectively collected. Outcomes were measured based on current recommendations and benchmarks, including rate of reaching the cecum, time to reach the cecum, time to completion of the study, pathologic lesions found, and complications.Results: The rate of reaching the cecum was 96.5%, and the average time to the cecum was 15.9 minutes. The average time to study completion was 34.4 minutes. The rate of neoplastic polyps and cancer found was 22.5% and 2.5%, respectively. There were no serious complications.Conclusions

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 65%

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Colonoscopy in Rural Communities: Can Family Physicians Perform the Procedure with Safe and Efficacious Results?

Edwards

Norris²

2004

The Journal of the American Board of Family Medicine

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“…The simple answer is far more actual supervised cases than have appeared in the listed minimum required numbers in the various guidelines discussed above. The published data is summarized in Table 11.3 [7,8,[43][44][45][46][47]. The most comprehensive study addressing this question is the multi-center ACES study performed by Cass et al [7].…”

Section: Minimum Training Requirements To Achieve Competency For Colomentioning

confidence: 99%

Training and Credentialing in Gastrointestinal Endoscopy

Cohen

2008

Advanced Digestive Endoscopy: Practice and Safety

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“…It is generally accepted that caecal intubation rates (CIR) should be greater than 90% for both screening and diagnostic endoscopies (1)(2)(3). Among the factors that have been recognized that affect CIR are body mass index, age of the patients, quality of bowel preparation, gender of the patients, experience of the endoscopist, prior hysterectomy in female patients and history of constipation (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

Comparison of caecal intubation rates between morning and afternoon colonoscopies at a tertiary hospital in Southwest Nigeria

Akere¹,

Osundina²,

Tejan³

2018

Research Journal of Health Sciences

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Background: Caecal intubation is an important measure of the quality of colonoscopy. Information on the effect of the time of colonoscopy on caecal intubation rate (CIR) is scarce. This study aimed to compare the CIR between morning and afternoon colonoscopies at the University College Hospital, Ibadan, Nigeria.Methods: A descriptive study of consenting patients referred for colonoscopy at the endoscopy unit of the University College Hospital, Ibadan, from January 2016 to March 2017. Bowel preparation consisted of liquid diet and Epsom salt. Pre-medications were intravenous Midazolam 2.5-5 mg and Pentazocine 15-30 mg in titrated doses. Colonoscopy was performed using Olympus Exera III Videocolonoscope (CF HQ190L, Olympus UK). Morning procedures were those carried out between 8.30 am and 12.00 noon, while those after 12.00 noon were classified as afternoon procedures. Caecal intubation was considered successful when the medial wall of the caecum was visualized.Results: Total of 177 colonoscopies were performed with 115 (65%) performed in the morning and 62 (35%) in the afternoon. In the morning, median age was 60 yrs, while in the afternoon, it was 61 yrs. Males (60.9% vs 58.1%) predominated in the morning, whereas females predominated in the afternoon (41.9% vs 39.1%), (p=0.72). In the morning, 100 (87%) patients had good/satisfactory bowel preparation, but 52 (83.9%) patients in the afternoon.(p=0.57). CIR was higher in the morning (90.4%), compared to afternoon (88.7%) (p=0.72). Conclusion:There was no statistically significant difference between CIR in the morning and afternoon procedures. Résultats: Au total, 177 coloscopies ont été réalisées avec 115 (65%) effectuées le matin et 62 (35%) l'après-midi. Le matin, l'âge médian était de 60 ans, alors que l'après-midi, il était de 61 ans. Les mâles (60,9% vs 58,1%) prédominaient le matin, tandis que les femelles prédominaient l'après-midi (41,9% vs 39,1%) (p = 0,72). Le matin, 100 patients (87%) avaient une préparation intestinale satisfaisante / satisfaisante, mais 52 patients (83,9%) l'après-midi (p = 0,57). Le CIR était plus élevé le matin (90,4%) que l'après-midi (88,7%) (p = 0,72). Keywords Conclusion:Il n'y avait pas de différence statistiquement significative entre CIR dans les procédures du matin et de l'après-midi.

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Prospective assessment of colonoscopic intubation skills in trainees

Cited by 115 publications

References 8 publications

Colonoscopy in Rural Communities: Can Family Physicians Perform the Procedure with Safe and Efficacious Results?

Colonoscopy in Rural Communities: Can Family Physicians Perform the Procedure with Safe and Efficacious Results?

Training and Credentialing in Gastrointestinal Endoscopy

Comparison of caecal intubation rates between morning and afternoon colonoscopies at a tertiary hospital in Southwest Nigeria

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