The prone 12 o'clock position reduces ileal intubation time during colonoscopy compared to the left lateral 6 o'clock (standard) position

Silva, Arjuna P. De; Kumarasena, Ravindu S.; Keragala, Suramya D Perera; Kalubowila, Udaya; Niriella, Madunil Anuk; Dassanayake, Anuradha S; Pathmeswaran, A.; Silva, H Janaka de

doi:10.1186/1471-230x-11-89

Cited by 21 publications

(20 citation statements)

References 8 publications

(12 reference statements)

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“…One study that used fluoroscopy to document the orientation of the colonoscope found that prone positioning straightened that orientation and facilitated intubation of the terminal ileum [11]. This study focused on ileal (not cecal) intubation, however, and the report provides no information on the BMI of study participants.…”

Section: Discussionmentioning

confidence: 96%

Prone Positioning of Obese Patients for Colonoscopy Results in Shortened Cecal Intubation Times: A Randomized Trial

et al. 2012

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Section: Discussionmentioning

confidence: 96%

Prone Positioning of Obese Patients for Colonoscopy Results in Shortened Cecal Intubation Times: A Randomized Trial

et al. 2012

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“…The TIIT was defined as the time required for the colonoscope end to be maneuvered from the cecum to the intubation of the terminal ileum. 20 Intubation of the terminal ileum was confirmed by photographic documentation of apparent villi in the terminal ileum by water-filling or using the narrow-band imaging method. 21 Cases where the terminal ileum could not be intubated were not included in the analysis of TIIT.…”

Section: Methodsmentioning

confidence: 99%

Comparison of the Efficacy and Safety of Sodium Phosphate Tablets and Polyethylene Glycol Solution for Bowel Cleansing in Healthy Korean Adults

Lee

Kim

et al. 2014

Yonsei Med J

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PurposeBowel cleansing is generally regarded as time-consuming and unpleasant among patients. Patients commonly state that bowel preparation provokes more discomfort than the actual colonoscopic examination. The purpose of this study was to compare two regimens of sodium phosphate (NaP) tablets versus polyethylene glycol (PEG) solution for bowel preparation in healthy Korean adults.Materials and MethodsThis was a single center, prospective, open-label, investigator-blinded, randomized, controlled-pilot study. A total of 62 healthy Korean subjects were randomly assigned to two groups (NaP vs. PEG). Efficacy, safety, and patient-related outcomes, as well as procedural parameters, were evaluated.ResultsAlthough there were no significant differences in total Ottawa bowel quality score, fluid scores and the rate of adequate bowel preparation were significantly better in the NaP group than the PEG group. Additionally, the NaP group showed better results regarding patient tolerance, satisfaction, preference, and rate of adverse events than the PEG group. Significant fluctuations in specific serum electrolytes were common and of a greater magnitude in the NaP group than the PEG group. However, these abnormalities were transient and did not result in serious complications and side effects.ConclusionIn this study, NaP tablets were shown to be an effective, well-tolerated, and acceptable regimen for bowel preparation. Also, our study suggests that NaP tablets may be safe and can be used as a bowel cleansing agent in healthy adults undergoing elective colonoscopy. Further multicenter, large scale studies are needed to confirm these findings.

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“…The prone position showed superior results for ileal intubation. [29][30][31]. To improve the performance in an endoscopy unit, the quality of colonoscopy was assessed.…”

Section: Introductionmentioning

confidence: 99%

Detection of Looping During Colonoscopy Using Bending Sensors

Choi¹

2013

TOMDJ

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During colonoscopy, looping of the colonoscope shaft is considered one of the biggest challenges of the procedure. It hinders the advancement of the distal tip of the colonoscope requiring time to retract and straighten the shaft. Consequently, anesthesia exposure and operative time, and associated risk and cost are all increased. Many active and passive auxiliary devices have been introduced to overcome looping problems but only select devices were utilized due to safety, complexity, or cost issues. In this study, a low cost looping detection system embedded in the shaft of the colonoscope and the corresponding software algorithm have been evaluated. Thirty bending sensors were inserted inside the shaft of the colonoscope, which sent voltage signals to the analog-digital converter. Digital signals were transmitted to the computer for software analysis of the looping status of the colonoscope shaft. A colonoscopist can often detect the beginning of the looping process and can initiate maneuvers to correct and avoid the looping, which frequently are successful. A standard colonoscopy training model was utilized to test the looping detection system, which effectively demonstrated loop formation, providing data to the endoscopist that is helpful for initiation of appropriate loop avoidance techniques. Maintenance of the bending sensors and a learning curve of the system can be potential limitations.

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The prone 12 o'clock position reduces ileal intubation time during colonoscopy compared to the left lateral 6 o'clock (standard) position

Cited by 21 publications

References 8 publications

Prone Positioning of Obese Patients for Colonoscopy Results in Shortened Cecal Intubation Times: A Randomized Trial

Prone Positioning of Obese Patients for Colonoscopy Results in Shortened Cecal Intubation Times: A Randomized Trial

Comparison of the Efficacy and Safety of Sodium Phosphate Tablets and Polyethylene Glycol Solution for Bowel Cleansing in Healthy Korean Adults

Detection of Looping During Colonoscopy Using Bending Sensors

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