Document Detail


Factors predictive of difficult colonoscopy.
MedLine Citation:
PMID:  11677470     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Prediction of a technically difficult colonoscopy may influence patient selection and procedure scheduling. Identification of predictive factors may be difficult because a common endpoint used to evaluate the success of colonoscopy is intubation of the cecum, which is usually achieved. The goal of this study was to examine the feasibility of using an alternative measure, time required for cecal intubation, to identify factors that can impact performance of colonoscopy. METHODS: The time required for cecal intubation was prospectively recorded for 802 consecutive outpatient colonoscopies performed by 7 experienced gastroenterologists. Patient data collected included height, weight, age, bowel habits, surgical history, and findings at colonoscopy. Forty-seven examinations that were stopped because of disease or unacceptable bowel preparation were excluded. The impact of the patient characteristics of the remaining sample of 755 patients on the median time required for cecal intubation for men and women was examined. RESULTS: Older age and female gender, body mass index < or =25.0 (regardless of gender), diverticular disease in women, and a history of constipation or reported laxative use in men were predictors of difficult colonoscopy. CONCLUSIONS: By using median time required for cecal intubation, several patient characteristics were identified that may predict technical difficulty at colonoscopy. These findings have implications for practice and teaching.
Authors:
J C Anderson; C R Messina; W Cohn; E Gottfried; S Ingber; G Bernstein; E Coman; J Polito
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gastrointestinal endoscopy     Volume:  54     ISSN:  0016-5107     ISO Abbreviation:  Gastrointest. Endosc.     Publication Date:  2001 Nov 
Date Detail:
Created Date:  2001-10-25     Completed Date:  2001-12-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0010505     Medline TA:  Gastrointest Endosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  558-62     Citation Subset:  IM    
Affiliation:
Department of Gastroenterology and Hepatology, State University of New York at Stony Brook, 11794, USA.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Body Mass Index
Clinical Competence
Colonoscopy*
Feasibility Studies
Female
Humans
Logistic Models
Male
Middle Aged
Prospective Studies
Risk Factors
Sex Factors
Time Factors
Comments/Corrections
Comment In:
Gastrointest Endosc. 2002 Jun;55(7):965-6; author reply 966   [PMID:  12024170 ]

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


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