Reduced pain during screening colonoscopy with an ultrathin colonoscope: a randomized controlled trial

Abstract

The new ultrathin Olympus colonoscope decreases patient pain during screening colonoscopy. This feature may improve uptake and patient satisfaction in screening colonoscopy. Further study is needed to evaluate the lower adenoma detection rate.

Evaluation of discomfort during colonoscopy with conventional and ultrathin colonoscopes in ulcerative colitis patients

“…Therefore, we should emphasize that only with respect to easing of UC patient discomfort and pain, was the performance of the PCF‐PQ260 type significantly better than the PCF‐Q260A conventional colonoscope type. Our findings are supported by earlier studies, which reported less patient discomfort, but without the advantage in performance for ultrathin flexible colonoscopes over a standard colonoscope . However, to our knowledge, this is the first prospective study that has evaluated an ultrathin flexible scope for colonoscopy in UC patients.…”

“…Further, the new‐type scope had a flexible passive bending section at the proximal end of the conventional bending section and could easily pass through the hairpin bends of the colon. In addition, the new‐type scope had a high‐force transmission insertion tube to facilitate transmission of the force from the proximal to the distal side and could transmit greater pushing force and torque than ordinary colonoscopes …”

“…Recently, a new ultrathin flexible colonoscope, PCF‐PQ260 (Olympus Medical Systems, Tokyo, Japan) has been developed with a major focus on easing patient discomfort during colonoscopy. The PCF‐PQ260 is equipped with a passive bending section and high‐force transmission insertion tube that can pass through tortuous and narrow lesions of the colon . We undertook this investigation to evaluate the comfort and performance of this ultrathin flexible colonoscope along with a standard conventional colonoscope in a randomized controlled setting in UC patients without sedation.…”

“…The PCF-PQ260 is equipped with a passive bending section and high-force transmission insertion tube that can pass through tortuous and narrow lesions of the colon. [15][16][17][18][19][20] We undertook this investigation to evaluate the comfort and performance of this ultrathin flexible colonoscope along with a standard conventional colonoscope in a randomized controlled setting in UC patients without sedation. Accordingly, in this study, main outcome measures were patients' rating of procedural discomfort and pain related to colonoscopy by using a visual analogue scale (VAS) 21 as a primary endpoint, cecal intubation time, rate of complete intubation (to reach the cecum) and rate of procedural complications.…”

Brain measures of nociception using near-infrared spectroscopy in patients undergoing routine screening colonoscopy

“…No interventions are required to maintain a patient airway, spontaneous ventilation is adequate, and cardiovascular function is usually maintained [2]. The procedure for colonoscopy was standard and has been described elsewhere [19], with adjunct medications for anesthesia and pain control. Meperidine is an analgesic that may diminish the pain signal, however this is dose dependent [48].…”