Significance of colonoscope length in cecal insertion time
- Authors
- Lee, Hang Lak; Eun, Chang Soo; Lee, Oh Young; Jeon, Yong Cheol; Han, Dong Soo; Sohn, Ju Hun; Yoon, Byung Chul; Choi, Ho Soon; Hahm, Joon Soo; Lee, Min Ho; Lee, Dong Hoo; Moon, Won; Kim, Sang-Yeon
- Issue Date
- Mar-2009
- Publisher
- MOSBY-ELSEVIER
- Citation
- GASTROINTESTINAL ENDOSCOPY, v.69, no.3, pp.503 - 508
- Indexed
- SCIE
SCOPUS
- Journal Title
- GASTROINTESTINAL ENDOSCOPY
- Volume
- 69
- Number
- 3
- Start Page
- 503
- End Page
- 508
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/177128
- DOI
- 10.1016/j.gie.2008.06.006
- ISSN
- 0016-5107
- Abstract
- Background: According to a previous study, a longer insertion time was associated with inadequate bowel cleansing, advanced age, constipation, surgical history sex, and a low body mass index. However, there are only a few studies on the association between cecal insertion time and colonoscope length (long vs intermediate).
Objective: To assess the association of colonoscope length and cecal insertion time.
Design: Prospective comparative trial, with systematic assignment to colonoscope length.
Patients: A total of 998 colonoscopic examinations were performed by I Single endoscopist, Who used video colonoscopes.
Main Outcome Measurements: Cecal insertion times and their potential covariates.
Results: The mean (+/- SEM) age was 49.06 +/- 0.4 years, 61% were men, Bind the mean (+/- SEM) body mass index was 24.17 +/- 2.96. The mean (+/- SEM) cecal insertion time was 4.68 +/- 0.09 Minutes. Multivariate regression analysis demonstrated that sex (female, P = .000), colonoscope length (long, P = .000), increasing age (P = .000), percentage of body fat (P = .006), and inadequate bowel cleansing (P = .002) were independent factors associated with a longer insertion time.
Limitations: All procedures were performed by only one gastroenterologist, so the individual Characteristics of colonoscopic procedures could be affected by a consequent bias.
Conclusions: This large, cross-sectional study identified colonoscope length as a useful factor that affected cecal insertion time. (Gastrointest Endosc 2009;69:503-8.)
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