Document Detail


Factors affecting outcomes in colonoscopy.
MedLine Citation:
PMID:  18300826     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There are many factors that influence successful outcomes in colonoscopy. The aims of this study were to evaluate these factors and determine ways to improve outcomes. All participants (N=229) who underwent planned colonoscopy between July and September 2004 were retrospectively included. Participants included 118 men and 111 women with a mean age of 59 years. Completion rate was 92%. Reasons of failure included poor bowel preparation (2.2%, p< .025), bowel looping (2.2%, p< .025), participant discomfort (1.3%), and obstructing lesion (1.3%). Mean midazolam dose was 3.8 mg. Three participants (1.3%) had midazolam alone, and all had complete colonoscopy. One hundred thirty-three participants (60.7%) had additional meperidine, with a completion rate of 94%. Eighty three participants (37.9%) had additional meperidine and Buscopan, with a completion rate reduced to 89.2%. There was no correlation between sedatives used and completion rate. Completion rate of colonoscopy in our unit was acceptable at 92%. A combination of midazolam and meperidine gave the best completion rates (94%). The two main reasons for incompletion were poor bowel preparation and excessive bowel looping.
Authors:
Seema Selehi; Edmund Leung; Ling Wong
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates     Volume:  31     ISSN:  1042-895X     ISO Abbreviation:  Gastroenterol Nurs     Publication Date:    2008 Jan-Feb
Date Detail:
Created Date:  2008-02-27     Completed Date:  2008-04-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8915377     Medline TA:  Gastroenterol Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  56-63     Citation Subset:  N    
Affiliation:
West Midlands, University Hospitals Coventry, Department of Surgery, Walsgrave, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Analgesics, Opioid / adverse effects,  therapeutic use
Butylscopolammonium Bromide / adverse effects,  therapeutic use
Colonoscopy* / adverse effects,  methods,  statistics & numerical data
Conscious Sedation* / adverse effects,  methods,  statistics & numerical data
Drug Therapy, Combination
Female
Great Britain
Humans
Hypnotics and Sedatives / adverse effects,  therapeutic use
Laxatives / adverse effects,  therapeutic use
Male
Medical Audit
Meperidine / adverse effects,  therapeutic use
Midazolam / adverse effects,  therapeutic use
Middle Aged
Muscarinic Antagonists / adverse effects,  therapeutic use
Pain / etiology,  prevention & control
Picolines / adverse effects,  therapeutic use
Retrospective Studies
Senna Extract / adverse effects,  therapeutic use
Treatment Outcome
Chemical
Reg. No./Substance:
0/Analgesics, Opioid; 0/Hypnotics and Sedatives; 0/Laxatives; 0/Muscarinic Antagonists; 0/Picolines; 10040-45-6/picosulfate sodium; 149-64-4/Butylscopolammonium Bromide; 57-42-1/Meperidine; 59467-70-8/Midazolam; 8013-11-4/Senna Extract

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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