Investigation of the New Advantages of Colonoscope Insertion with an Endoscopic Position Detection Unit

• Published in: Diagnostics (Basel) Vol. 12; no. 11; p. 2610
• Main Authors: Kawai, Takashi, Kawai, Yusuke, Akimoto, Yoshika, Hamada, Mariko, Iwata, Eri, Niikura, Ryota, Nagata, Naoyoshi, Sugimoto, Mitsushige, Yanagisawa, Kyosuke, Yamagishi, Tetsuya, Fukuzawa, Masakatsu, Itoi, Takao
• Format: Journal Article
• Language: English
• Published: Basel MDPI AG 27.10.2022; MDPI
• Subjects: Anesthesia; Blood tests; Chi-square test; Colonoscopy; colonoscopy insertion; colonoscopy screening; Colorectal cancer; endoscopic position detection unit (UPD); Endoscopy; Intubation; Magnetic fields; Methods; Mortality; Patients; Statistical analysis; Surveillance; Japan
• ISSN: 2075-4418; 2075-4418
• DOI: 10.3390/diagnostics12112610

Background: The use of an endoscopic position detection unit (UPD) enables better and more objective understanding of the shape and position of the colonoscope. Here, we investigated the reproducibility of the insertion of a colonoscope with UPD. Materials and Methods: Study participants were 122 patients who received a colonoscopy with UPD twice for the purpose of large bowel screening and surveillance. The mean age of participants was 69.7 ± 10.4 years, and the male-to-female ratio was 9.2:1. The colonoscope insertion technique was primarily based on the shaft-holding, shortening insertion method. The cecal intubation time was recorded; the method used for passing through the sigmoid/descending colon junction (SDJ) and the hepatic flexure. Results: The mean cecal intubation time was 990 ± 511 s. The cecal intubation time and the patterns for passing through the SDJ and hepatic flexure were significantly correlated between the first and second colonoscopies. Conclusion: Use of a UPD revealed good reproducibility of colonoscope insertion. This is the first time we have proved that both time and pattern are inserted in much the same way for the first and second times. In patients’ conducted UPD combination TCS after the second time, it was suggested that individual tailor-made insertions are possible based on the information from the first time.