Effect of Changing Patient’s Position During Colonoscopy to the Colonoscopy Time, Ileal Intubation Rate and Number of Polyps

Authors : Remzi AKTÜRK, Serdar SERİNSÖZ

Pages : 74-81

Doi:10.58854/jicm.1172499

View : 8 | Download : 6

Publication Date : 2022-12-30

Article Type : Research Paper

Abstract :Objective: Colonoscopy is universally considered as the conventional tool for the identification and removal of adenomatous polyps. The aim was to evaluate the effect of position change on the cecal and ileal intubation rates and the detection rate of polyps. In this way, it is aimed to accelerate the colonoscopy procedure time and increase its sensitivity. Methods: The study included 943 patients aged between 17 and 90 years presented for a diagnostic colonoscopy at our hospital surgery clinic from January 2008 to December 2018. Results: The results indicated significantly lower median cecal and ileal intubation time and higher polyps detection rate owing to change in the patient’s posture to supine than in the left lateral position during colonoscopy procedure insert ignore into journalissuearticles values(p<0.0001);. Moreover, cecal insert ignore into journalissuearticles values(p<0.0001); and ileal insert ignore into journalissuearticles values(p=0.001); intubation time was negatively correlated with the number of polyps detected. The age of the participating patients was the demographic factor found to be positively correlated with the number of polyps detected insert ignore into journalissuearticles values(p<0.0001);. Furthermore, changing the patient’s posture to supine led to an 11% increase in the polyp detection rate in the cecum, ascending colon, and hepatic flexure combined regions insert ignore into journalissuearticles values(p<0.0001);. The odds of detection of polyps in this region were 2.11 insert ignore into journalissuearticles values(95%CI, 1.60-2.78); times higher in supine posture compared to the left lateral position. Conclusion: The above findings strengthen the relevance of the position of the patient in the polyp detection rate during colonoscopy procedures.
Keywords : Kolonoskopi, Çekal Entübasyon Oranı, İleal Entübasyon Oranı, Kolorektal Kanser, Sol Yan Pozisyon, Sırtüstü Pozisyon