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Impact of prior abdominal or pelvic surgery on colonoscopy outcomes
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김원호 | - |
dc.contributor.author | 김태일 | - |
dc.contributor.author | 이상길 | - |
dc.date.accessioned | 2015-06-10T12:37:36Z | - |
dc.date.available | 2015-06-10T12:37:36Z | - |
dc.date.issued | 2006 | - |
dc.identifier.issn | 0192-0790 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/110152 | - |
dc.description.abstract | GOALS: This large prospective study attempted to analyze the effect of various prior surgery on colonoscopy performance. BACKGROUND: It is generally presumed that colonoscopy in patients with a history of abdominal or pelvic surgery is difficult. This difficulty is apparently due to adhesions and anatomic alterations after surgery but the incidence, site, and severity of adhesions are different according to the types of surgery. STUDY: We analyzed completion rate and insertion time in 4089 consecutive colonoscopies in patients with intact colon. RESULTS: The adjusted completion rate for colonoscopy was 96.7%. The mean insertion time was 6.2+/-4.0 minutes. Not only old age [odds ratio (OR) 1.46; 95% confidence interval (CI) [1.04, 2.04]] and inadequate bowel cleansing (OR 5.82; 95% CI [4.19, 8.09]) but also a surgical history (OR 1.71; 95% CI [1.18, 2.48]) were independent factors associated with procedural incompleteness. Of surgical history, gastrectomy and hysterectomy were significantly associated with procedural incompleteness (P<0.001 and P=0.001, respectively). Old age (OR 1.48; 95% CI [1.22, 1.79]), female sex (OR 1.22; 95% CI [1.01, 1.48]), constipation as an indication (OR 1.58; 95% CI [1.24, 2.02]), and inadequate bowel cleansing (OR 1.46; 95% CI [1.13, 1.88]) were independent factors associated with prolonged insertion time (>10 min), but a surgical history lost statistical power as a predictor for prolonged insertion time in multivariate analysis. CONCLUSIONS: Although the difference in insertion time was not substantial, a history of abdominal or pelvic surgery is associated with difficulty in colonoscopy. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 711~716 | - |
dc.relation.isPartOf | JOURNAL OF CLINICAL GASTROENTEROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Abdomen/surgery | - |
dc.subject.MESH | Adolescent | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Child | - |
dc.subject.MESH | Colonoscopy/methods | - |
dc.subject.MESH | Colonoscopy/standards* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Gastrectomy/adverse effects* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Hysterectomy/adverse effects* | - |
dc.subject.MESH | Intubation | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Pelvis/surgery | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Time Factors | - |
dc.title | Impact of prior abdominal or pelvic surgery on colonoscopy outcomes | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | Sang Kil Lee | - |
dc.contributor.googleauthor | Tae Il Kim | - |
dc.contributor.googleauthor | Sung Jae Shin | - |
dc.contributor.googleauthor | Byung Chang Kim | - |
dc.contributor.googleauthor | Won Ho Kim | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00774 | - |
dc.contributor.localId | A01079 | - |
dc.contributor.localId | A02812 | - |
dc.relation.journalcode | J01319 | - |
dc.identifier.eissn | 1539-2031 | - |
dc.identifier.pmid | 16940884 | - |
dc.identifier.url | http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00004836-200609000-00010&LSLINK=80&D=ovft | - |
dc.subject.keyword | colonoscopy | - |
dc.subject.keyword | insertion time | - |
dc.subject.keyword | completion | - |
dc.subject.keyword | a surgical history | - |
dc.contributor.alternativeName | Kim, Won Ho | - |
dc.contributor.alternativeName | Kim, Tae Il | - |
dc.contributor.alternativeName | Lee, Sang Kil | - |
dc.contributor.affiliatedAuthor | Kim, Won Ho | - |
dc.contributor.affiliatedAuthor | Kim, Tae Il | - |
dc.contributor.affiliatedAuthor | Lee, Sang Kil | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 40 | - |
dc.citation.number | 8 | - |
dc.citation.startPage | 711 | - |
dc.citation.endPage | 716 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CLINICAL GASTROENTEROLOGY, Vol.40(8) : 711-716, 2006 | - |
dc.identifier.rimsid | 52528 | - |
dc.type.rims | ART | - |
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