Does abdominal compression improve the success rate of and tolerance to colonoscopy?

Czech version

Authors: Kojecký V.; Havlíčková Z.; Gabrielová M.; Haasová J.; Machalová M.; Kopečná H.; Štekovičová B.
Authors‘ workplace: Centrum digestivní endoskopie, Krajská nemocnice T. Bati, Zlín
Published in: Gastroent Hepatol 2019; 73(1): 62-65
Category: Digestive Endoscopy: Original Article
doi: https://doi.org/10.14735/amgh201962

Overview

Introduction:

Intestinal distension during colonoscopy affects the success rate of and tolerance to this procedure. Abdominal banding can shorten the duration of the colonoscopy. This study aimed to evaluate the effect of abdominal banding during colonoscopy.

Methods:

This was a prospective randomized study. The duration of and tolerance to colonoscopy were compared between patients with and without abdominal banding.

Results:

The duration of colonoscopy (375 ± 185 sec vs. 338 ± 200 sec, p = NS) and tolerance to this procedure did not differ between patients with and without abdominal banding. Nurses reported that colonoscopy was less difficult in patients with abdominal banding than in those without (p = 0.026). The duration of colonoscopy was inversely correlated with body mass index (r = –0.27, 95% CI –0.45 to –0.06, p = 0.011).

Conclusion:

Abdominal banding does not affect the duration of or tolerance to colonoscopy. Cecal intubation is usually faster in overweight patients.

Key words:

colonoscopy – abdominal binder – techniques

Submitted: 21. 10. 2018

Accepted: 28. 10. 2018

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Sources

1. Falt P, Urban O, Suchánek Š et al. Doporučené postupy České gastroenterologické společnosti ČLS JEP pro diagnostickou a terapeutickou koloskopii. Gastroent Hepatol 2016; 70(6): 523–538. doi:10.14735/ amgh2016csgh.info19.

2. Shah SG, Brooker JC, Thapar C et al. Patient pain during colonoscopy: an analysis using real-time magnetic endoscope imaging. Endoscopy 2002; 34(6): 435–440. doi: 10.1055/ s-2002-31995.

3. Falt P, Šmajstrla V, Fojtík P et al. Kolonoskopie ve vodní imerzi s použitím chladné vody – dvojitě zaslepená, randomizovaná studie. Gastroent Hepatol 2013; 67(6): 462–467.

4. Othman MO, Bradley AG, Choudhary A et al. Variable stiffness colonoscope versus regular adult colonoscope: meta-analysis of randomized controlled trials. Endoscopy 2009; 41(1): 17–24. doi: 10.1055/ s-0028-1103488.

5. Chen Y, Duan YT, Xie Q et al. Magnetic endoscopic imaging vs standard colonoscopy: meta-analysis of randomized controlled trials. World J Gastroenterol 2013; 19(41): 7197–7204. doi: 10.3748/ wjg.v19.i41.7197.

6. Cadoni S, Falt P, Gallittu P et al. Water Exchange is the least painful colonoscope insertion technique and increases completion of unsedated colonoscopy. Clin Gastroenterol Hepatol 2015; 13(11): 1972–1980. doi: 10.1016/ j.cgh.2015.04.178.

7. Mir FA, Boumitri C, Ashraf I et al. Cap-assisted colonoscopy versus standard colonoscopy: is the cap beneficial? A meta-analysis of randomized controlled trials. Ann Gastroenterol 2017; 30(6): 640–648. doi: 10.20524/ aog.2017.0180.

8. Hartman J, Cronin SN. Pillow use for hands-free abdominal compression during endoscopy. [online]. Available from: https:/ / www.sgna.org/ Portals/ 0/ Events/ PDF/ 2016-Annual-Course/ 2016%20Posters/ Research/ R08.pdf.

9. Schulman AR, Ryou M, Chan WW. A novel hands-free abdominal compression device for colonoscopy significantly decreases cecal intubation time: a prospective single-blinded pilot study. J Laparoendosc Adv Surg Tech A 2017; 27(6): 564–570. doi: 10.1089/ lap.2016.0649.

10. Crockett SD, Cirri HO, Kelapure R et al. Use of an abdominal compression device in colonoscopy: a randomized, sham-controlled trial. Clin Gastroenterol Hepatol 2016; 14(6): 850–857. doi: 10.1016/ j.cgh.2015.12.039.

11. Tsutsumi S, Fukushima H, Kuwano H. Colonoscopy using an abdominal bandage. Hepatogastroenterology 2007; 54(79): 1983–1984.

12. Toros AB, Ersoz F, Ozcan O. Does a fitted abdominal corset makes colonoscopy more tolerable? Dig Endosc 2012; 24(3): 164–167. doi: 10.1111/ j.1443-1661.2011.01207.x.

13. Hathorn JP, Dubinski MA, Spanarkel M. ColoWrap(r) binder reduces insertion time, use of ancillary maneuvers, and frequency of prolonged insertions during colonoscopy. [online]. Available from: https:/ / www.sages.org/ meetings/ annual-meeting/ abstracts-archive/ colowrapr-binder-reduces-insertion-time-use-of-ancillary-maneuvers-and-frequency-of-prolonged-insertions-during-colonoscopy.