Changing from two- to one-operator colonoscopy insertion technique is feasible with similar quality outcomes.

colon cancer colonoscopy quality technique

Journal

JGH open : an open access journal of gastroenterology and hepatology
ISSN: 2397-9070
Titre abrégé: JGH Open
Pays: Australia
ID NLM: 101730833

Informations de publication

Date de publication:
Apr 2019
Historique:
received: 02 11 2018
accepted: 07 11 2018
entrez: 8 5 2019
pubmed: 8 5 2019
medline: 8 5 2019
Statut: epublish

Résumé

Colonoscopy can be performed with two-operator (2OP) or one-operator (1OP) methods. This study aimed to investigate the feasibility and colonoscopy quality outcomes for the two different colonoscopy insertion techniques. One colonoscopist from Changhua Christian Hospital learned and changed the colonoscopy insertion technique from 2OP to 1OP during 2013. Real-life results of screening colonoscopies performed by this colonoscopist between these two insertion techniques (year 2012: 2OP vs year 2014: 1OP) were retrospectively reviewed and compared. In total, 219 screening colonoscopies were reviewed (2OP group, Colonoscopy quality outcomes were not impaired when one endoscopist changed the colonoscopy practice pattern from 2OP to 1OP. However, 1OP significantly shortened the colonoscopy insertion time.

Sections du résumé

BACKGROUND AND AIM OBJECTIVE
Colonoscopy can be performed with two-operator (2OP) or one-operator (1OP) methods. This study aimed to investigate the feasibility and colonoscopy quality outcomes for the two different colonoscopy insertion techniques.
METHODS METHODS
One colonoscopist from Changhua Christian Hospital learned and changed the colonoscopy insertion technique from 2OP to 1OP during 2013. Real-life results of screening colonoscopies performed by this colonoscopist between these two insertion techniques (year 2012: 2OP vs year 2014: 1OP) were retrospectively reviewed and compared.
RESULTS RESULTS
In total, 219 screening colonoscopies were reviewed (2OP group,
CONCLUSION CONCLUSIONS
Colonoscopy quality outcomes were not impaired when one endoscopist changed the colonoscopy practice pattern from 2OP to 1OP. However, 1OP significantly shortened the colonoscopy insertion time.

Identifiants

pubmed: 31061892
doi: 10.1002/jgh3.12124
pii: JGH312124
pmc: PMC6487808
doi:

Types de publication

Journal Article

Langues

eng

Pagination

159-162

Références

Lancet Oncol. 2005 Nov;6(11):871-6
pubmed: 16257795
Int J Clin Pract. 2006 Jun;60(6):635-8
pubmed: 16805744
Gastroenterology. 2007 Jan;132(1):96-102
pubmed: 17241863
J Gastroenterol Hepatol. 2009 May;24(5):770-5
pubmed: 19220668
CA Cancer J Clin. 2009 Nov-Dec;59(6):366-78
pubmed: 19897840
J Gastroenterol Hepatol. 2012 Jan;27(1):76-80
pubmed: 21649720
BMC Gastroenterol. 2011 Jun 14;11:73
pubmed: 21672243
Hepatogastroenterology. 2012 Mar-Apr;59(114):436-9
pubmed: 22353512
Gut. 2014 Jun;63(6):949-56
pubmed: 23793224
Dig Liver Dis. 2013 Dec;45(12):1022-7
pubmed: 23816699
Dig Liver Dis. 2014 Jul;46(7):616-20
pubmed: 24721107
World J Gastroenterol. 2014 Aug 21;20(31):10927-37
pubmed: 25152596
Am J Gastroenterol. 2015 Jan;110(1):72-90
pubmed: 25448873
World J Gastroenterol. 2014 Dec 7;20(45):16984-95
pubmed: 25493011
Gut. 2016 Apr;65(4):607-15
pubmed: 25636697
Cancer. 2015 Sep 15;121(18):3221-9
pubmed: 25995082
Gut. 2017 Feb;66(2):293-300
pubmed: 26515543
J Formos Med Assoc. 2016 Dec;115(12):1076-1088
pubmed: 26786251
Endoscopy. 2016 Mar;48(3):241-7
pubmed: 26845473
Nihon Shokakibyo Gakkai Zasshi. 2016 Jul;113(7):1176-85
pubmed: 27383100
Int J Mol Epidemiol Genet. 2016 Sep 30;7(3):105-114
pubmed: 27766137
Cancer. 2017 May 1;123(9):1516-1527
pubmed: 28117881
Surg Clin North Am. 1982 Oct;62(5):869-76
pubmed: 7123461

Auteurs

Hsu-Heng Yen (HH)

Endoscopy Center Changhua Christian Hospital Changhua City Taiwan.
General Education Center Chienkuo Technology University Changhua Changhua City Taiwan.
College of Medicine, Chan-Shan Medical University Taichung City, Taichung Taiwan.

Yu-Chun Hsu (YC)

Endoscopy Center Changhua Christian Hospital Changhua City Taiwan.

Classifications MeSH