A prospective randomised study comparing double-balloon colonoscopy and conventional colonoscopy in pre-defined technically difficult cases
| Autor: | Alberto Murino, M Nakamura, Leonidas A. Bourikas, Edward J. Despott, Chris H. Fraser |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Sedation medicine.medical_treatment Colonoscopy Balloon 03 medical and health sciences Young Adult 0302 clinical medicine Patient satisfaction medicine Intubation Humans In patient Conventional colonoscopy Prospective Studies Cecum Aged Pain Measurement Aged 80 and over Double-Balloon Enteroscopy Hepatology medicine.diagnostic_test Colonoscopes business.industry Gastroenterology dBc Middle Aged United Kingdom Surgery Abdominal Pain Patient Satisfaction 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female Clinical Competence medicine.symptom business |
| Zdroj: | Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver. 49(5) |
| ISSN: | 1878-3562 |
| Popis: | Backgrounds and aim Technically ‘difficult’ (TD) colonoscopy is associated with incomplete colonoscopy, discomfort and longer procedures. Double-balloon colonoscopy (DBC) may facilitate TD colonoscopy. The primary outcome was to compare the time taken to achieve caecal intubation during conventional colonoscopy (CC) and DBC in patient with a TD colon. Methods We performed a prospective, randomised study comparing DBC and CC for TD colonoscopy. Patients were screened for parameters predictive of TD colonoscopy using an original scoring system and randomised to DBC or CC. Pain, sedation dose, colonoscopy completeness, time taken for cecal intubation, procedure completion, recovery time and patient satisfaction were recorded. Results Forty-four patients were recruited (DBC = 22; CC = 22). DBC facilitated total colonoscopy in 22 cases whereas 9 CC procedures were incomplete (P = 0.019). Median pre-procedure difficulty scores were equal for both groups (4.0 vs. 4.0). Mean patient discomfort, pain scores and recovery time were significantly lower for the DBC group (2.3 vs. 5.5, P = 0.001; 2.0 vs. 5.9, P = 0.005; 5 vs. 20 min, P = 0.014 respectively). Mean time taken for cecal intubation was similar (17.5 vs. 14 min, P = 0.18); Conclusion DBC facilitates colonoscopy completion and may be a more comfortable alternative to CC for TD cases although the time taken to achieve caecal intubation was similar. |
| Databáze: | OpenAIRE |
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