Yu-Hsi Hsieh1, Kuo-Chih Tseng, An-Liang Chou. 1. Division of Gastroenterology, Department of Medicine, Buddhist Dalin Tzu Chi General Hospital, 2 Min-Sheng Road, Dalin, Chia-Yi 622, Taiwan. hsieh.yuhsi@msa.hinet.net
Abstract
CONTEXT: Assistant-administered abdominal pressure is usually required to reduce loop formation during a colonoscopy. The effect of patient self-administered abdominal pressure has not been evaluated. OBJECTIVE: To compare the effectiveness of patient self-administered abdominal pressure with assistant-administered abdominal pressure to reduce loop formation during colonoscopy performed with minimal sedation. PATIENTS: Consecutive patients who underwent colonoscopy were randomized to receive either patient self-administered abdominal pressure (patient group, n = 51) or assistant-administered abdominal pressure (assistant group, n = 52) when looping occurred during colonoscopy minimally sedated with meperidine. When patient-administered abdominal pressure failed to reduce the loop formation, an assistant took over and delivered the abdominal pressure. RESULTS: No difference was found regarding cecal intubation rate, intubation time, mean pain scores, and overall satisfaction of patients between groups. However, fewer patients required assistant-administered pressure in the patient group than in the assistant group (18/51 vs. 41/52, P < 0.001). CONCLUSIONS: Patient self-administered pressure is effective in reducing looping during minimally sedated colonoscopy.
RCT Entities:
CONTEXT: Assistant-administered abdominal pressure is usually required to reduce loop formation during a colonoscopy. The effect of patient self-administered abdominal pressure has not been evaluated. OBJECTIVE: To compare the effectiveness of patient self-administered abdominal pressure with assistant-administered abdominal pressure to reduce loop formation during colonoscopy performed with minimal sedation. PATIENTS: Consecutive patients who underwent colonoscopy were randomized to receive either patient self-administered abdominal pressure (patient group, n = 51) or assistant-administered abdominal pressure (assistant group, n = 52) when looping occurred during colonoscopy minimally sedated with meperidine. When patient-administered abdominal pressure failed to reduce the loop formation, an assistant took over and delivered the abdominal pressure. RESULTS: No difference was found regarding cecal intubation rate, intubation time, mean pain scores, and overall satisfaction of patients between groups. However, fewer patients required assistant-administered pressure in the patient group than in the assistant group (18/51 vs. 41/52, P < 0.001). CONCLUSIONS:Patient self-administered pressure is effective in reducing looping during minimally sedated colonoscopy.
Authors: F Catalano; R Catanzaro; G Branciforte; C F Bentivegna; R Cipolla; A Brogna; L O Sala; G Migliore; M Paternuosto Journal: Gastrointest Endosc Date: 2000-05 Impact factor: 9.427
Authors: Seth D Crockett; Holly O Cirri; Renuka Kelapure; Joseph A Galanko; Christopher F Martin; Evan S Dellon Journal: Clin Gastroenterol Hepatol Date: 2016-01-06 Impact factor: 11.382