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Transparent-cap-fitted colonoscopy shows higher performance with cecal intubation time in difficult cases

查看全文 作  者:Hyung Hun [1]Kim;Seun Ja [1]Park;Moo In [1]Park;Won [1]Moon;Sung Eun [1]Kim 高影响力作者 机构地区:[1]Department of Internal Medicine,Kosin University College of Medicine,Busan 602-702,South Korea高影响力机构 出  处:《World Journal of Gastroenterology》索引2012年第18卷第16期,共6页高影响力期刊 摘  要:AIM:To investigate the efficacy of cap-fitted colonoscopy(CFC) with regard to cecal intubation time.METHODS:Two hundred and ninety-five patients undergoing screening colonoscopy at Gospel Hospital,Kosin University College of Medicine were enrolled in this randomized controlled trial between January and December 2010.Colonoscopies were conducted by a single endoscopist.Patient characteristics including age,sex,body mass index,history of abdominal surgery,quality of preparation,and the presence of diverticulosis were recorded.RESULTS:One hundred and fifty patients were allocated into a CFC group and 145 into a non-CFC(NCF) group.Cecal intubations were achieved in all patients.Cecal intubation time in the CFC group was significantly shorter than in the NCF group for specific conditions:age ≥ 60 years,prior abdominal surgery,and poor bowel preparation.The number of detected adenomas was higher in the CFC group than in the NCF group(P = 0.040).CONCLUSION:CFC facilitated shortening of the cecal intubation time in difficult cases,and was more sensitive for detecting adenomas than was NCF. 关 键 词:插管 盲肠 检查 时间 大肠 显示 性能 腹部手术
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