BACKGROUND: For outpatient colonoscopy, the time required to intubate the cecum is variable. The aim of this study was to determine factors associated with cecal intubation time. METHODS: A total of 693 consecutive outpatient colonoscopies performed from January to October 2002 at a tertiary care medical center were studied prospectively. Data gathered included time required to reach the cecum; patient age, gender, and body mass index; history of abdominal surgery; quality of bowel preparation; presence/absence of diverticula; and endoscopist experience. RESULTS: Complete data were available for 587 patients. Mean age was 59 years, 48% were men, and mean body mass index was 28. Median cecal intubation time was 9 minutes. Linear regression analysis was performed. Cecal intubation time is prolonged by the following factors: older patient age, female gender, lower body mass index, poor bowel preparation, and lower endoscopist annual case volume. CONCLUSIONS: This large, prospective study identified 5 factors that prolong the time required for cecal intubation at colonoscopy. These factors may be used to individualize scheduling of colonoscopy according to the time required.
BACKGROUND: For outpatient colonoscopy, the time required to intubate the cecum is variable. The aim of this study was to determine factors associated with cecal intubation time. METHODS: A total of 693 consecutive outpatient colonoscopies performed from January to October 2002 at a tertiary care medical center were studied prospectively. Data gathered included time required to reach the cecum; patient age, gender, and body mass index; history of abdominal surgery; quality of bowel preparation; presence/absence of diverticula; and endoscopist experience. RESULTS: Complete data were available for 587 patients. Mean age was 59 years, 48% were men, and mean body mass index was 28. Median cecal intubation time was 9 minutes. Linear regression analysis was performed. Cecal intubation time is prolonged by the following factors: older patient age, female gender, lower body mass index, poor bowel preparation, and lower endoscopist annual case volume. CONCLUSIONS: This large, prospective study identified 5 factors that prolong the time required for cecal intubation at colonoscopy. These factors may be used to individualize scheduling of colonoscopy according to the time required.
Authors: Vincent de Jonge; Jerome Sint Nicolaas; Eoin A Lalor; Clarence K Wong; Brennan Walters; Anand Bala; Ernst J Kuipers; Monique E van Leerdam; Sander Jo Veldhuyzen van Zanten Journal: Can J Gastroenterol Date: 2010-10 Impact factor: 3.522
Authors: Chang Soo Eun; Dong Soo Han; Yil Sik Hyun; Joong Ho Bae; Hye Sun Park; Tae Yeob Kim; Yong Cheol Jeon; Joo Hyun Sohn Journal: Dig Dis Sci Date: 2010-11-02 Impact factor: 3.199
Authors: Nooman Gilani; Sally Stipho; James D Panetta; Sorin Petre; Michele A Young; Francisco C Ramirez Journal: World J Gastrointest Endosc Date: 2015-05-16
Authors: Samuel G Smith; Christian von Wagner; Lesley M McGregor; Laura M Curtis; Elizabeth A H Wilson; Marina Serper; Michael S Wolf Journal: Dis Colon Rectum Date: 2012-10 Impact factor: 4.585