Impact of water filling on terminal ileum intubation with a distal-tip mucosal exposure device
| Autor: | Rachel E. Lahr, Connor D. McWhinney, Douglas K. Rex, Emma Love, Krishna C. Vemulapalli, Merritt M. Peterson, Nicholas Tippins, Andrew W. Sullivan |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Time Factors medicine.medical_treatment Colonoscopy Colonoscopes 03 medical and health sciences Cecum 0302 clinical medicine Ileum Terminal ileum medicine Intubation Humans Radiology Nuclear Medicine and imaging Prospective Studies Aged medicine.diagnostic_test business.industry Gastroenterology Water Equipment Design Middle Aged medicine.anatomical_structure 030220 oncology & carcinogenesis Anesthesia 030211 gastroenterology & hepatology Female Clinical Competence Gases business |
| Zdroj: | Gastrointestinal endoscopy. 91(3) |
| ISSN: | 1097-6779 |
| Popis: | Background and Aims Endocuff improves detection at colonoscopy but seems to impede terminal ileal (TI) intubation. We assessed the impact of Endocuff Vision (EV) on TI intubation using adult or pediatric colonoscopes and evaluated whether filling the cecum with gas versus water affected the impact of EV on TI intubation. Methods Using a prospectively recorded quality control database, we explored the impact of EV on TI intubation in ≤1 minute. We used adult and pediatric colonoscopes and tested the effect of filling the cecum with gas versus water. If the initial attempt failed, then the alternative (water vs gas) was tried as a rescue method. Results TI intubation in ≤1 minute occurred in 91% of colonoscopies without EV versus 65% with EV, but the use of the pediatric colonoscope with EV had a higher success rate for TI intubation in ≤1 minute compared with the adult colonoscope with EV (73% vs 57%, P = .043). TI intubation in ≤1 minute was more successful with EV when the cecum was filled with water rather than gas (74% vs 56%, P = .019), but the benefit of water filling was limited to the adult colonoscope with EV. When EV was in place, water filling was more successful as a rescue method of TI intubation (58% vs 21%, P = .011). Conclusions EV adversely affects TI intubation, particularly for adult colonoscopes. Water filling of the cecum mitigates the impact of EV on TI intubation with adult colonoscopes. |
| Databáze: | OpenAIRE |
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