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Effect of Previous Abdominal or Pelvic Surgery on Colonoscopy  

Jeong, Chang-Wook (Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Shim, Sang-Goon (Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Park, Geon-Tae (Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Oh, Ji-Eun (Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Yi, Ji-Eun (Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Woo, Jae-Gon (Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Cho, Dae-Hyeon (Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Yoo, Gil-Jong (Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine)
Publication Information
Clinical Endoscopy / v.42, no.5, 2011 , pp. 283-288 More about this Journal
Abstract
Background/Aims: A number of studies have reported wide variability in the colonoscope insertion time among patients who had prior abdominal surgery. The aim of this study was to investigate the effect of abdominal surgery on colonoscope insertion time. Methods: The subjects were 192 patients with prior abdominal surgery, among 3,600 patients who underwent a colonoscopy at Samsung Changwon Hospital from May 2008 to May 2010. We collected the following data: insertion time, age, gender, height, weight, BMI, waist circumference, method of abdominal surgery, and the degree of bowel cleanliness. Previous abdominal operations were divided into colectomy, non-colectomy abdominal surgery, pelvic surgery, and laparoscopic surgery groups. Results: The average colonoscope insertion time in patients with prior abdominal surgery (7.73${\pm}$5.95 min) was longer than that of the non-surgery group (6.4${\pm}$3.88 min). Patients in the colectomy groups were older and had a shorter insertion time (5.11${\pm}$3.32 min) than patients in the other groups. Conclusions: Insertion of a colonoscope in patients with previous abdominal surgery was more difficult than that in the control group, except the colectomy group.
Keywords
Prior abdominal surgery; Colonoscopy insertion time;
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1 Webb WA. Colonoscoping the "difficult" colon. Am Surg 1991;57:178-182.
2 Rex DK. Achieving cecal intubation in the very difficult colon. Gastrointest Endosc 2008;67:938-944.   DOI   ScienceOn
3 Anderson JC, Messina CR, Cohn W, et al. Factors predictive of difficult colonoscopy. Gastrointest Endosc 2001;54:558-562.   DOI   ScienceOn
4 Saunders BP, Fukumoto M, Halligan S, et al. Why is colonoscopy more difficult in women? Gastrointest Endosc 1996;43:124-126.   DOI   ScienceOn
5 Shah HA, Paszat LF, Saskin R, Stukel TA, Rabeneck L. Factors associated with incomplete colonoscopy: a population-based study. Gastroenterology 2007;132:2297-2303.   DOI   ScienceOn
6 Sanaka MR, Shah N, Mullen KD, Ferguson DR, Thomas C, McCullough AJ. Afternoon colonoscopies have higher failure rates than morning colonoscopies. Am J Gastroenterol 2006;101:2726-2730.   DOI   ScienceOn
7 Hsieh YH, Kuo CS, Tseng KC, Lin HJ. Factors that predict cecal insertion time during sedated colonoscopy: the role of waist circumference. J Gastroenterol Hepatol 2008;23:215-217.   DOI   ScienceOn
8 Lee SK, Kim TI, Shin SJ, Kim BC, Kim WH. Impact of prior abdominal or pelvic surgery on colonoscopy outcomes. J Clin Gastroenterol 2006;40:711-716.   DOI   ScienceOn
9 Takahashi Y, Tanaka H, Kinjo M, Sakumoto K. Prospective evaluation of factors predicting difficulty and pain during sedation-free colonoscopy. Dis Colon Rectum 2005;48:1295-1300.   DOI   ScienceOn
10 Hull T, Church JM. Colonoscopy-how difficult, how painful? Surg Endosc 1994;8:784-787.   DOI   ScienceOn
11 Waye JD, Bashkoff E. Total colonoscopy: is it always possible? Gastrointest Endosc 1991;37:152-154.   DOI   ScienceOn
12 Anderson JC, Gonzalez JD, Messina CR, Pollack BJ. Factors that predict incomplete colonoscopy: thinner is not always better. Am J Gastroenterol 2000;95:2784-2787.   DOI   ScienceOn
13 Church JM. Complete colonoscopy: how often? And if not, why not?. Am J Gastroenterol 1994;89:556-560.
14 Cirocco WC, Rusin LC. Factors that predict incomplete colonoscopy. Dis Colon Rectum 1995;38:964-968.   DOI   ScienceOn
15 Oh SY, Sohn CI, Sung IK, et al. Factors affecting the technical difficulty of colonoscopy. Hepatogastroenterology 2007;54:1403-1406.
16 Gupta T, Mandot A, Desai D, Abraham P, Joshi A, Shah S. Comparison of two schedules (previous evening versus same morning) of bowel preparation for colonoscopy. Endoscopy 2007;39:706-709.   DOI   ScienceOn
17 Bernstein C, Thorn M, Monsees K, Spell R, O'Connor JB. A prospective study of factors that determine cecal intubation time at colonoscopy. Gastrointest Endosc 2005;61:72-75.   DOI   ScienceOn
18 Chung YW, Han DS, Park KH, et al. Patient factors predictive of inadequate bowel preparation using polyethylene glycol: a prospective study in Korea. J Clin Gastroenterol 2009;43:448-452.   DOI   ScienceOn
19 Rostom A, Jolicoeur E. Validation of a new scale for the assessment of bowel preparation quality. Gastrointest Endosc 2004;59:482-486.   DOI   ScienceOn
20 Liakakos T, Thomakos N, Fine PM, Dervenis C, Young RL. Peritoneal adhesions: etiology, pathophysiology, and clinical significance. Recent advances in prevention and management. Dig Surg 2001;18:260-273.   DOI   ScienceOn
21 Barmparas G, Branco BC, Schnuriger B, Lam L, Inaba K, Demetriades D. The incidence and risk factors of post-laparotomy adhesive small bowel obstruction. J Gastrointest Surg 2010;14:1619-1628.   DOI   ScienceOn
22 Saifuddin T, Trivedi M, King PD, Madsen R, Marshall JB. Usefulness of a pediatric colonoscope for colonoscopy in adults. Gastrointest Endosc 2000;51:314-317.   DOI   ScienceOn
23 Marshall JB, Perez RA, Madsen RW. Usefulness of a pediatric colonoscope for routine colonoscopy in women who have undergone hysterectomy. Gastrointest Endosc 2002;55:838-841.   DOI   ScienceOn