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Factors Influencing Cecal Intubation Time during Retrograde Approach Single-Balloon Enteroscopy

机译：逆行入路单气囊肠镜检查中盲肠插管时间的影响因素

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Background and Aim. The predisposing factors for prolonged cecal intubation time (CIT) during colonoscopy have been well identified. However, the factors influencing CIT during retrograde SBE have not been addressed. The aim of this study was to determine the factors influencing CIT during retrograde SBE.Methods. We investigated patients who underwent retrograde SBE at a medical center from January 2011 to March 2014. The medical charts and SBE reports were reviewed. The patients’ characteristics and procedure-associated data were recorded. These data were analyzed with univariate analysis as well as multivariate logistic regression analysis to identify the possible predisposing factors.Results. We enrolled 66 patients into this study. The median CIT was 17.4 minutes. With univariate analysis, there was no statistical difference in age, sex, BMI, or history of abdominal surgery, except for bowel preparation(P=0.021). Multivariate logistic regression analysis showed that inadequate bowel preparation (odds ratio 30.2, 95% confidence interval 4.63–196.54;P<0.001) was the independent predisposing factors for prolonged CIT during retrograde SBE.Conclusions. For experienced endoscopist, inadequate bowel preparation was the independent predisposing factor for prolonged CIT during retrograde SBE.
机译：背景和目标。结肠镜检查期间盲肠插管时间延长的诱发因素已得到很好的识别。但是，尚未解决影响逆行SBE期间CIT的因素。这项研究的目的是确定逆行SBE期间影响CIT的因素。我们调查了2011年1月至2014年3月在医疗中心接受逆行SBE的患者。检查了病历表和SBE报告。记录患者的特征和与手术相关的数据。对这些数据进行单因素分析和多元逻辑回归分析，以找出可能的诱发因素。我们招募了66名患者参加了这项研究。平均CIT为17.4分钟。单因素分析显示，除肠道准备外，年龄，性别，BMI或腹部手术史均无统计学差异（P = 0.021）。多元逻辑回归分析表明，肠道准备不足（赔率30.2，95％置信区间4.63-196.54; P <0.001）是逆行SBE期间CIT延长的独立诱因。对于有经验的内镜医师，肠道准备不足是逆行SBE期间CIT延长的独立诱因。

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