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  • 标题:Usefulness of Gastroscope in Patients with Incomplete Colonoscopy
  • 本地全文:下载
  • 作者:Yang, Bong Joon ; Ahn, Yong Hwan ; Oh, Seong Ryeol
  • 期刊名称:Intestinal Research
  • 印刷版ISSN:1598-9100
  • 电子版ISSN:2288-1956
  • 出版年度:2013
  • 卷号:11
  • 期号:1
  • 页码:41-45
  • DOI:10.5217/ir.2013.11.1.41
  • 语种:Korean
  • 出版社:Korean Association for the Study of Intestinal Diseases
  • 摘要:Background/Aims

    Conventional colonoscopy is limited in some patients with several causes, such as fixed angulation, extensive loop or adhesion. Therefore, small-caliber scopes are considered alternatives to unsuccessful conventional colonoscopy. The aim of this study is to evaluate the usefulness of gastroscope in patients with unsuccessful colonoscopy.

    Methods

    From May 2008 to April 2009, a total of 2,548 colonoscopies were performed in Wonkwang University Hospital. The gastroscope was used subsequently when conventional colonoscopy failed.

    Results

    There were 27 cases (1.06%) of unsuccessful colonoscopy. The causes of failure were assessed as fixed angulation of the sigmoid colon (59.2%, 16/27), excessive looping (14.8%, 4/27), stricture (14.8%, 4/27), sigmoid diverticulosis (7.4%, 2/27), and adhesion of transverse colon (3.7%, 1/27). The average time of intubation to cecum with the gastroscope was 7 minutes and 28 seconds (range, 2 to 20 minutes). With the gastroscope, 77.8% (21/27) were intubated to the cecum. The pain score of gastroscope was reduced, as compared with that of conventional colonoscopy (4.95 vs. 5.94, P <0.001).

    Conclusions

    Gastroscope would be a useful alternative tool in patients with unsuccessful colonoscopy.

  • 关键词:Gastroscopes; Colonoscopy; Intubation
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