首页|Transparent-cap-fitted colonoscopy shows higher performance with cecal intubation time in difficult cases
Transparent-cap-fitted colonoscopy shows higher performance with cecal intubation time in difficult cases
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AIM:To investigate the efficacy of cap-fitted colonoscopy (CFC) with regard to cecal intubation time.METHODS:Two hundred and ninety-five patients undergoing screening colonoscopy at Gospel Hospital,Kosin University College of Medicine were enrolled in this randomized controlled trial between January and December 2010.Colonoscopies were conducted by a single endoscopist.Patient characteristics including age,sex,body mass index,history of abdominal surgery,quality of preparation,and the presence of diverticulosis were recorded.RESULTS:One hundred and fifty patients were allocated into a CFC group and 145 into a non-CFC (NCF)group.Cecal intubations were achieved in all patients.Cecal intubation time in the CFC group was significantly shorter than in the NCF group for specific conditions:age ≥ 60 years,prior abdominal surgery,and poor bowel preparation.The number of detected adenomas was higher in the CFC group than in the NCF group (P =0.040).CONCLUSION:CFC facilitated shortening of the cecal intubation time in difficult cases,and was more sensitive for detecting adenomas than was NCF.
ColonoscopyCap-fitted colonoscopyCecal intubation
Hyung Hun Kim、Seun Ja Park、Moo In Park、Won Moor、Sung Eun Kim
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Department of Internal Medicine, Kosin University College of Medicine, Busan 602-702, South Korea