Analysis of Patient-related Factors Affecting Difficulty of Colonoscopy
10.3969/j.issn.1008-7125.2023.08.001
- VernacularTitle:影响结肠镜检查困难程度的患者相关因素分析
- Author:
Xujin CHEN
1
;
Cheng YANG
;
Xianlan ZHU
;
Bingni WEI
;
Lin JI
;
Zhujun XIE
;
Feng JU
;
Leyao ZHANG
;
Qiang ZHAN
Author Information
1. 南京医科大学附属无锡人民医院消化内科 南京医科大学无锡医学中心(214000)
- Keywords:
Colonoscopy;
Difficult Factors;
Cecal Insertion Time;
Adenoma Detection Rate;
Retrospective Studies
- From:
Chinese Journal of Gastroenterology
2023;28(8):449-455
- CountryChina
- Language:Chinese
-
Abstract:
Background:Complete colonoscopy is key to the diagnosis and treatment of colorectal disease,its role in reducing the morbidity and mortality of colorectal cancer is well known.Nonetheless,there are numerous factors,not just from the endoscopist's perspective but also from the patient's,that can potentially increase the difficulty of completing a colonoscopy.Aims:To identify patient-related factors that influenced the difficulty of a colonoscopy.Methods:Through two rounds of expert consultation,the factors that might affect the difficulty of colonoscopy were selected.A total of 1621 consecutive painless colonoscopies from Jan.2021 to Jan.2022 at the endoscopy center of The Affiliated Wuxi People's Hospital of Nanjing Medical University were evaluated in a retrospective manner.Factors including demographic data,cecal insertion time,adenoma detection rate and so on were recorded.These factors were analyzed to determine their association with difficulty by using Logistic regression model.Results:A total of 29 patient-related factors affecting the difficulty of colonoscopy were selected.Through retrospective analysis,the mean age of 1621 cases was(47.45±13.27)years,of which 45.8%were male and the mean body mass index was(23.32±3.11)kg/m2.Logistic regression analysis revealed that age≥60 years(OR=2.890,95%CI:1.957-4.269,P<0.001),female gender(OR=0.324,95%CI:0.217-0.484,P<0.001),history of gynecological surgery(OR=14.895,95%CI:9.741-22.776,P<0.001),constipation for 20-30 years(OR= 1.412,95%CI:0.925-2.156,P=0.010)were independent risk factors for difficult colonoscopy.Conclusions:This retrospective study identified several patient-related factors that influence the technical difficulty of colonoscopy.These findings had implications for practice and teaching of colonoscopy.
