| Usefulness of Gastroscope in Patients with Incomplete Colonoscopy |
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Bong Joon Yang, Yong Hwan Ahn, Seong Ryeol Oh, Jin Soo Chung, Sae Ron Shin, Suck Chei Choi, Yong Ho Nah, Geom Seog Seo |
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Department of Internal Medicine, Digestive Disease Research Institute, Department of Family Medicine, Wonkwang University College of Medicine, Iksan, Korea
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| 통상적인 대장내시경이 실패한 환자에서 위내시경의 유용성 |
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양봉준, 안용환, 오성렬, 정진수, 신새론, 최석채, 나용호, 서검석 |
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원광대학교 의과대학 내과학교실 소화기질환 연구소, 가정의학교실 |
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| Abstract |
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. (Intest Res 2013;11:41-45) |
| Key Words:
Gastroscopes, Colonoscopy, Intubation |
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