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Factors for cecal intubation time during colonoscopy in women: Impact of surgical history

Authors
 Ji Hyung Nam  ;  Jung Hyeon Lee  ;  Jae Hak Kim  ;  Hyoun Woo Kang  ;  Dong Kee Jang  ;  Yun Jeong Lim  ;  Moon-Soo Koh  ;  Hyun Soo Park  ;  Eun-Cheol Park  ;  Jun Kyu Lee  ;  Jin Ho Lee 
Citation
 SAUDI JOURNAL OF GASTROENTEROLOGY, Vol.25(6) : 377-383, 2019 
Journal Title
 SAUDI JOURNAL OF GASTROENTEROLOGY 
ISSN
 1319-3767 
Issue Date
2019
Keywords
Cecal intubation time ; cesarean section ; colonoscopy ; gynecological surgery ; women
Abstract
Background/Aim: Cecal intubation during colonoscopy is prone to be prolonged in women, which may be related to frequent exposure to pelvic/abdominal surgery. We evaluated the association between Cecal Intubation Time (CIT) and prior episodes of pelvic/abdominal surgery in women. Patients and Methods: A cross-sectional study was conducted on screening participants who underwent colonoscopy. Multivariate regression with parameter estimates (β) was performed to determine the factors affecting CIT, including age, body mass index (BMI), bowel preparation, sedation, diverticulosis, experience of colonoscopists, and a surgical history. Also, subgroup analyses according to type of surgery were performed. Results: A total of 835 women were enrolled. The mean CIT was 5.82 ± 3.40 min. 323 females (38.7%) had episodes of surgery. The CIT was prolonged in cases performed by non-experienced trainees (β = 3.61, P< 0.001) and with a history of gynecological surgery (β = 0.97, P = 0.001). In the subgroup of non-experienced trainees, lower BMI, poor preparation, and a history of cesarean section significantly prolonged the CIT. Also, the risk for difficult colonoscopy (CIT ≥ 15 min) was increased with a history of cesarean section (odds ratio = 4.43, P= 0.024). Conclusion: A prior episode of gynecological surgery prolonged CIT. Also, cesarean section history was associated with difficult colonoscopy in the examination by non-experienced trainees.
Full Text
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6941456/?report=printable
DOI
10.4103/sjg.SJG_9_19
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/174701
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