Cargando…

Body mass index & low CIR in colonoscopy!

AIM: The aim of this study was to determine common factors leading to incomplete colonoscopy with a special interest in patient body mass index (BMI), and also to determine most common second line investigation, its pick up rates for cancer and the success rate of re-scoping. BACKGROUND: Wide availa...

Descripción completa

Detalles Bibliográficos
Autores principales: Qureshi, Adnan, BiBi, Saira, Madhotra, Ravi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shaheed Beheshti University of Medical Sciences 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5990922/
https://www.ncbi.nlm.nih.gov/pubmed/29910853
_version_ 1783329699799236608
author Qureshi, Adnan
BiBi, Saira
Madhotra, Ravi
author_facet Qureshi, Adnan
BiBi, Saira
Madhotra, Ravi
author_sort Qureshi, Adnan
collection PubMed
description AIM: The aim of this study was to determine common factors leading to incomplete colonoscopy with a special interest in patient body mass index (BMI), and also to determine most common second line investigation, its pick up rates for cancer and the success rate of re-scoping. BACKGROUND: Wide availability of scope guide in all procedures may decrease failure rate. METHODS: We retrospectively reviewed 2891 colonoscopies performed at our institution from August 2015 to July 2016. The cohort was composed of all incomplete procedures (148) during this time period and a second cohort (148) of complete examinations which were randomly selected for relation of BMI only. The data in incomplete colonoscopy group included age, gender, BMI, causes of failure, mode of referral, second line investigation. The success of re-scope to pick up a cancer was compared to other modalities i.e. CT Colonography etc. RESULTS: Male to female ratio was 1:4.8. High incomplete colonoscopy rate was noted in females (81%). Mean age in failure group was 64 ±15. Average BMI was 28± 15.Most common mode of referral was urgent or suspected cancer (74%). Common cause of failure was patient intolerance (30%). Most common anatomical site of failure was sigmoid colon (35%). Completion rate of re-scoping in experienced hands was 95%. A lower BMI is related with higher chances of failure or vice versa. CONCLUSION: Lower BMI has higher chance of failure, possibly due to less extra colonic fat leading to tortuous colon. Female sex is second most common cause of failure due to low intolerance to pain. Using stronger pain relief and equal distribution of these characteristics on different list will have least implications in busy cancer screening unit.
format Online
Article
Text
id pubmed-5990922
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Shaheed Beheshti University of Medical Sciences
record_format MEDLINE/PubMed
spelling pubmed-59909222018-06-15 Body mass index & low CIR in colonoscopy! Qureshi, Adnan BiBi, Saira Madhotra, Ravi Gastroenterol Hepatol Bed Bench Original Article AIM: The aim of this study was to determine common factors leading to incomplete colonoscopy with a special interest in patient body mass index (BMI), and also to determine most common second line investigation, its pick up rates for cancer and the success rate of re-scoping. BACKGROUND: Wide availability of scope guide in all procedures may decrease failure rate. METHODS: We retrospectively reviewed 2891 colonoscopies performed at our institution from August 2015 to July 2016. The cohort was composed of all incomplete procedures (148) during this time period and a second cohort (148) of complete examinations which were randomly selected for relation of BMI only. The data in incomplete colonoscopy group included age, gender, BMI, causes of failure, mode of referral, second line investigation. The success of re-scope to pick up a cancer was compared to other modalities i.e. CT Colonography etc. RESULTS: Male to female ratio was 1:4.8. High incomplete colonoscopy rate was noted in females (81%). Mean age in failure group was 64 ±15. Average BMI was 28± 15.Most common mode of referral was urgent or suspected cancer (74%). Common cause of failure was patient intolerance (30%). Most common anatomical site of failure was sigmoid colon (35%). Completion rate of re-scoping in experienced hands was 95%. A lower BMI is related with higher chances of failure or vice versa. CONCLUSION: Lower BMI has higher chance of failure, possibly due to less extra colonic fat leading to tortuous colon. Female sex is second most common cause of failure due to low intolerance to pain. Using stronger pain relief and equal distribution of these characteristics on different list will have least implications in busy cancer screening unit. Shaheed Beheshti University of Medical Sciences 2018 /pmc/articles/PMC5990922/ /pubmed/29910853 Text en ©2018 RIGLD, Research Institute for Gastroenterology and Liver Diseases This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Qureshi, Adnan
BiBi, Saira
Madhotra, Ravi
Body mass index & low CIR in colonoscopy!
title Body mass index & low CIR in colonoscopy!
title_full Body mass index & low CIR in colonoscopy!
title_fullStr Body mass index & low CIR in colonoscopy!
title_full_unstemmed Body mass index & low CIR in colonoscopy!
title_short Body mass index & low CIR in colonoscopy!
title_sort body mass index & low cir in colonoscopy!
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5990922/
https://www.ncbi.nlm.nih.gov/pubmed/29910853
work_keys_str_mv AT qureshiadnan bodymassindexlowcirincolonoscopy
AT bibisaira bodymassindexlowcirincolonoscopy
AT madhotraravi bodymassindexlowcirincolonoscopy