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首页> 外文期刊>Surgical Endoscopy >Colonoscopy using a small-caliber colonoscope with passive-bending after incomplete colonoscopy due to sharp angulation or pain.
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Colonoscopy using a small-caliber colonoscope with passive-bending after incomplete colonoscopy due to sharp angulation or pain.

机译：使用小口径结肠镜进行结肠镜检查，由于尖锐的角度或疼痛，在不完全结肠镜检查后进行被动弯曲。

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We evaluated the performance of a newly developed small-caliber (SC) colonoscope (PCF-PQ260L). This colonoscope (diameter 9.2 mm) is designed with passive-bending and high-force transmission. The SC colonoscope was used for rescue colonoscopy following incomplete colonoscopy with a standard (SD) colonoscope caused by sharp angulation, loop formation, or pain.Records of SC colonoscopy given to patients following an incomplete colonoscopy with the SD colonoscope and in the same session were analyzed. Cecal intubation rate, pain using a visual analog scale (0 = none, 100 = extremely painful) in the first and second colonoscopy, total time, new lesions detected with the SC colonoscopy, dosage of sedation used, and any complications were assessed. Examinations that could not be completed, because the colonoscope was not long enough to reach the cecum due to a redundant colon were excluded.The records of 43 patients who were given SC colonoscopy following incomplete examinations using the SD colonoscope were reviewed. In 97.7 % of cases (42/43), cecal intubation was achieved with the SC colonoscope in the same session. The mean pain score during colonoscopy was significantly lower for the second SC colonoscopy than for the first SD colonoscopy (40.6 ± 14.1 vs. 74.5 ± 10.8, P < 0.001). Lesions were detected with the SC colonoscope in 41.8 % of cases (18/43).When a colonoscopy with SD colonoscope failed due to sharp angulations, loop formation, or pain, subsequent colonoscopy with a SC colonoscope increased cecal intubation and lesion detection rates and decreased severity of reported pain.
机译：我们评估了新开发的小口径（SC）结肠镜（PCF-PQ260L）的性能。该结肠镜（直径9.2 mm）采用被动弯曲和高力传输设计。 SC结肠镜用于因标准的（SD）结肠镜的不完全结肠镜检查而导致的急诊结肠镜检查，该标准结肠镜由于尖锐的角度，pain形成或疼痛而引起。分析。盲肠插管率，在第一和第二次结肠镜检查中使用视觉模拟量表（0 =无，100 =极度痛苦）的疼痛，总时间，SC结肠镜检查发现的新病变，使用的镇静剂量以及任何并发症进行了评估。排除了由于结肠镜由于结肠多余而无法到达盲肠而无法完成的检查。回顾了43例在SD结肠镜检查不完全后接受SC结肠镜检查的患者的记录。在97.7％（42/43）的病例中，在同一疗程中使用SC结肠镜完成盲肠插管。在第二次SC结肠镜检查中，结肠镜检查期间的平均疼痛评分显着低于第一次SD结肠镜检查（40.6±14.1 vs. 74.5±10.8，P <0.001）。 SC结肠镜检查发现病变的占41.8％（18/43）。当SD结肠镜检查因尖锐的角度，loop形成或疼痛而导致结肠镜检查失败时，随后SC结肠镜检查的结肠镜检查增加了盲肠插管和病变检出率，减轻疼痛的严重程度。

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