¿Influye el posible cansancio del endoscopista en la frecuencia de colonoscopias incompletas y de las lesiones polipoideas diagnosticadas?

Borda, Fernando; Borda, Ana; Jiménez, Francisco Javier; Fernández-Urién, Ignacio; Vila, Juan J.; Zozaya, José Manuel

doi:10.1016/j.gastrohep.2013.09.001

Cited by 5 publications

(1 citation statement)

References 49 publications

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“…Park has remarked on the importance of proper technique and maintenance of proper body posture during the procedure to reduce the risk of endoscopy-related injuries [ 22 ]. However, there are some other studies indicating that endoscopist fatigue does not affect the ADR [ 23 ]. In a retrospective study including 34,022 cases, it was concluded that endoscopists’ daily fatigue negatively affected colonoscopy quality [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Colonoscopy Practice Style, Operator Ergonomics and Procedure Quality

Besler,

Celayir,

Teke

et al. 2023

Cureus

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Objective: We aimed to compare three endoscopy operators who performed colonoscopy in three different styles in terms of procedure results, colonoscopy quality, and operator comfort during the procedure.Patients and methods: A total of 246 patients, who underwent routine screening colonoscopy for precancerous lesions between May and December 2022 in Istanbul Haydarpaşa Numune Education and Research Hospital, Istanbul, Turkey, were prospectively analyzed. The results of three different styles (single operator sitting, single operator standing, and two operators standing) were compared with each other. The following criteria were examined: polyp/adenoma detection rate, number of polyps detected per patient, cecal intubation rate, total procedure time, number of endoscope corrective maneuvers, number of patient position corrections during the procedure, and the endoscopist's subjective pain scale after the procedure.Results: The number of corrections and changes in scope position, rates of changing the patient's position during the procedure, and the postprocedural fatigue degree of the endoscopist were the highest for the single-operator standing style (p<0.001). The total processing time and post-procedure fatigue degree of the endoscopist were the lowest for the single-operator sitting style (p<0.001). The adenoma detection rate was the highest for single-operator standing style (37.8% vs 22.0% and 29.3%). The strongest predictive factors for the total procedure time were the colonoscopy style and patient age. The strongest predictive factors for the change in the total number of detected polyps were colonoscopy style, patient gender, and patient age. Independent of all other factors, the total detected number of polyps was statistically significantly higher for the single-operator standing style compared to other styles (B=-0.217, 95% confidence interval: -0.369 --0.066 and p=0.005) (B=-0.172, 95% confidence interval: -0.326 --0.017 and p=0.029).Conclusions: Two conclusions were drawn from this study. For routine screening colonoscopy, the singleoperator sitting style seems to be superior to other styles in terms of the shortest procedure time and the least tiring. However, the widely used single-operator standing style should be preferred over other styles in terms of the highest adenoma detection rate although it is most tiring and time-consuming.

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Section: Discussionmentioning

confidence: 99%

The Relationship Between Colonoscopy Practice Style, Operator Ergonomics and Procedure Quality

Besler,

Celayir,

Teke

et al. 2023

Cureus

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What Can We Do to Optimize Colonoscopy and How Effective Can We Be?

Hancock

Mascarenhas

Lieberman

2016

Curr Gastroenterol Rep

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In the USA, colorectal cancer is the third most common cancer and third leading cause of cancer death among both men and women. Declining rates of colon cancer in the past decade have been attributed in part to screening and removal of precancerous polyps via colonoscopy. Recent emphasis has been placed on measures to increase the quality and effectiveness of colonoscopy. These have been divided into pre-procedure quality metrics (bowel preparation), procedural quality metrics (cecal intubation, withdrawal time, and adenoma detection rate), post-procedure metrics (surveillance interval), and other quality metrics (patient satisfaction and willingness to repeat the procedure). The purpose of this article is to review the data and controversies surrounding each of these and identify ways to optimize the performance of colonoscopy.

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Comparison of efficacy of colonoscopy between the morning and afternoon: A systematic review and meta-analysis

Zhao

Wang

et al. 2018

Digestive and Liver Disease

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¿Influye el posible cansancio del endoscopista en la frecuencia de colonoscopias incompletas y de las lesiones polipoideas diagnosticadas?

Cited by 5 publications

References 49 publications

The Relationship Between Colonoscopy Practice Style, Operator Ergonomics and Procedure Quality

The Relationship Between Colonoscopy Practice Style, Operator Ergonomics and Procedure Quality

What Can We Do to Optimize Colonoscopy and How Effective Can We Be?

Comparison of efficacy of colonoscopy between the morning and afternoon: A systematic review and meta-analysis

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