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The efficacy of cap-assisted colonoscopy performed by a single endoscopist in patients after colorectal resection

Authors
 Im-kyung Kim  ;  Jeonghyun Kang  ;  Seung Hyuk Baik  ;  Kang Young Lee  ;  Seung-Kook Sohn 
Citation
 MEDICINE, Vol.95(37) : 4869, 2016 
Journal Title
 MEDICINE 
ISSN
 0025-7974 
Issue Date
2016
MeSH
Aged ; Colonoscopy/instrumentation* ; Colonoscopy/statistics & numerical data ; Colorectal Neoplasms/diagnosis* ; Colorectal Neoplasms/surgery ; Female ; Humans ; Male ; Middle Aged ; Neoplasm Recurrence, Local/diagnosis* ; Prospective Studies
Keywords
cap ; cecal intubation ; colonoscopy ; colorectal resection
Abstract
BACKGROUND: The use of a transparent cap is regarded as a simple method to obtain better outcomes compared with standard colonoscopy. In this study, we investigated whether cap-assisted colonoscopy can improve the quality of procedure-related outcomes in patients with a history of colorectal resection. METHODS: This study was designed as a prospective, randomized, controlled trial conducted at a single tertiary center by a single endoscopist (Kang J.). A total 183 patients after colorectal resection due to primary colorectal cancer were enrolled and 1:1 randomized to undergo either cap-assisted colonoscopy (CAP group) or standard colonoscopy (non-CAP group). The primary endpoint was the comparison of cecal intubation time between the 2 groups. RESULTS: The mean cecal intubation time of the CAP group (n?=?89) was significantly shorter than that of the non-CAP group (n?=?89) (538?seconds vs 677?seconds, P?=?0.024). In the CAP group, the endoscopist performed faster intubation than average more often compared with the non-CAP group (71.9% vs 57.3%). In regard to moving average curve, the CAP group showed a gentle slope during the learning period, while the non-CAP group showed a steep decrease. CONCLUSION: The cap-assisted colonoscopy could reduce cecal intubation time and achieve more frequent faster intubation compared with standard colonoscopy in patients after colorectal resection.
Files in This Item:
T201603431.pdf Download
DOI
10.1097/MD.0000000000004869
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Jeonghyun(강정현) ORCID logo https://orcid.org/0000-0001-7311-6053
Kim, Im Kyung(김임경) ORCID logo https://orcid.org/0000-0001-8505-5307
Baik, Seung Hyuk(백승혁) ORCID logo https://orcid.org/0000-0003-4183-2332
Lee, Kang Young(이강영)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/151934
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