Risk factors associated with longer cecal intubation time: a systematic review and meta-analysis

Jaruvongvanich, Veeravich; Sempokuya, Tomoki; Laoveeravat, Passisd; Ungprasert, Patompong

doi:10.1007/s00384-018-3014-x

Cited by 32 publications

(29 citation statements)

References 35 publications

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“…A previous meta-analysis found that a lower BMI is associated with a longer CIT. [ 18 ] In contrast, our study did not find any significant association between anthropometric data and prolonged CIT. Therefore, the amount of abdominal fat or muscle did not affect the difficulty of colonoscopy in expert colonoscopists.…”

Section: Discussioncontrasting

confidence: 99%

“…One recent meta-analysis study reported older age, female sex, low BMI, and poor bowel preparation as factors significantly associated with a longer CIT. [ 18 ] We hypothesized that optimal bowel preparation leads to decreased procedure time (from insertion to withdrawal) and increased polyp detection rate. We found a positive correlation between old age and poor bowel preparation and prolonged CIT.…”

Section: Discussionmentioning

confidence: 99%

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Cecal intubation time in screening colonoscopy

Kim¹

2021

Medicine

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The time required to intubate the cecum varies. The aim of this study was to determine whether demographic and anthropometric factors, such as body mass index (BMI), percent body fat, muscle mass, and fat mass, affect the cecal intubation time (CIT) during complete colonoscopy. A retrospective chart review of 1229 patients (aged 40–80 years) was performed. These patients underwent average-risk screening colonoscopies performed by expert gastroenterologists at Health Check-up Center, Seoul National University Bundang Hospital, during a health check-up. We collected data on age, sex, BMI, percent body fat, muscle mass, fat mass, history of prior abdominal or pelvic surgery, CIT, and bowel preparation quality (Boston Bowel Preparation Scale [BBPS] score). Of the 1229 patients, 62% were men. The mean age was 55 years, and the mean BMI was 24 kg/m 2 . The median CIT was 5 min. The patients were categorized into two groups according to CIT: easy colonoscopy (CIT ≤ 10 min) and difficult colonoscopy (CIT > 10 min). In univariate analysis, CIT was prolonged by the following factors: older age, poor bowel preparation, lower BMI, lower percent body fat, and less fat mass. Multivariate analysis showed that anthropometric indices including BMI, percent body fat, muscle mass, and fat mass were not significant factors for CIT. Older age (≥ 70 years) (odds ratio [OR]: 2.272, 95% confidence interval [CI]: 1.056–4.890, P = .036) and poor bowel preparation (BBPS score ≤ 5) (OR: 3.817, 95% CI: 1.866–7.808, P = .000) were found to be correlated with difficult colonoscopy. Our study suggests that anthropometric indices including BMI, percent body fat, muscle mass, and fat mass are not associated with significantly different CIT. Furthermore, sex and prior abdominal or pelvic surgery are not useful factors for a prolonged CIT. Older age (≥ 70 years) and poor bowel preparation (BBPS score ≤ 5) are significant variables predicting the CIT of expert gastroenterologists.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cecal intubation time in screening colonoscopy

Kim¹

2021

Medicine

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“…5,6,7,8 Leading causes of incomplete colonoscopy include; inadequate colon cleansing, advanced age, female gender, low body mass index (BMI), previous abdominal or pelvic surgery, diverticulosis, long-tortious colon, procedure without sedation and inexperienced endoscopist. 9,10,11,12,13,14 In our endoscopy unit, approximately 2000 colonoscopes are performed annually. It is important that clinics assess their own results, observe compliance with quality standards in the colonoscopy, and correct any deficiencies that are identified.…”

Section: Introductionmentioning

confidence: 99%

Compliance with Quality Standards and Causes of Incomplete Colonoscopy: A Prospective Observational Study

Aday¹,

Gündeş²,

Çiyiltepe³

et al. 2019

tjcd

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“…Colonoscope insertion time is an important technical measure of colonoscopy. 28 Although the technical difficulty of colonoscope insertion was not recorded by the colonoscopists, the longer insertion time in the gastric cancer group indirectly suggests that colonoscope insertion was more technically demanding in postgastrectomy patients than in the healthy population. We investigated colonoscope withdrawal time only in patients who did not undergo any additional procedures such as a biopsy or polypectomy.…”

Section: Discussionmentioning

confidence: 98%

Postgastrectomy gastric cancer patients are at high risk for colorectal neoplasia: a case control study

et al. 2021

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Background/Aims: Several studies have shown that colorectal neoplasms (CRN) including colorectal cancer (CRC) may be prevalent in patients with gastric cancer. However, in most of these studies, colonoscopy to investigate the prevalence of CRN was performed prior to surgery. We aimed to investigate whether CRN was more prevalent in postgastrectomy gastric cancer patients than in healthy individuals.Methods: We reviewed the medical records of those patients within a cohort of gastric cancer patients with gastrectomy who underwent colonoscopy between 2016 and 2017. Controls age- and sex-matched with gastric cancer patients at a 2:1 ratio were identified among those who underwent colonoscopy at a health-promotion center. The frequencies of CRN, advanced CRN (ACRN), and CRC among patients with gastrectomy were compared with those in the control subjects. A total of 744 individuals (gastric cancer, 248; control, 496) were included.Results: The rates of CRN and ACRN in the gastric cancer group were higher than those in the healthy individuals (CRN, 47.6% vs. 34.7%, P< 0.001; ACRN, 16.9% vs. 10.9%, P= 0.020). The rate of CRC was comparable between the 2 groups (2.0% vs. 0.6%, P= 0.125). Multivariate analysis identified previous gastrectomy for gastric cancer and male sex as significant risk factors for (A)CRN.Conclusions: CRN and ACRN were more prevalent in patients who underwent surgery for gastric cancer than in the control group. Regular surveillance colonoscopy at appropriate intervals is indicated after gastrectomy.

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Risk factors associated with longer cecal intubation time: a systematic review and meta-analysis

Abstract: The current meta-analyses have demonstrated that old age, female sex, low BMI, and poor bowel preparation were the predictors for prolonged CIT.

Cited by 32 publications

References 35 publications

Cecal intubation time in screening colonoscopy

Cecal intubation time in screening colonoscopy

Compliance with Quality Standards and Causes of Incomplete Colonoscopy: A Prospective Observational Study

Postgastrectomy gastric cancer patients are at high risk for colorectal neoplasia: a case control study

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