Determining The Factors Affecting Cecal Intubation Time: Is The Nurse-Assisted Method One Of Them?
Surgical Chronicles, cilt.28, sa.3, ss.302-307, 2023 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 28 Sayı: 3
- Basım Tarihi: 2023
- Dergi Adı: Surgical Chronicles
- Derginin Tarandığı İndeksler: Scopus, Central & Eastern European Academic Source (CEEAS)
- Sayfa Sayıları: ss.302-307
- Anahtar Kelimeler: Boston Bowel Preparation Scale, cecal intubation time, Colonoscopy, nurse assisted
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: This study aims to determine the factors affecting cecal intubation time (CIT) during colonoscopy and to reveal the correctable ones. Materıals and Methods: A total of 304 adult patients underwent colonoscopic examination were included in this study. Colonoscopic examinations were carried out by three different experienced endoscopists as A, B, and C. While endoscopist A used non-nurse-assisted method during colonoscopy, B and C used nurse-assisted method. The Boston Bowel Preparation Scale (BBPS) was used for the evaluation of colon cleansing. If the total BBPS score was ≥6 and/or any segment’s score was >1, the colon cleansing was defined as adequate. Results: The mean age of the patients was 52 (±13) years and 139 (46%) were male. The numbers of colonoscopies performed by endoscopists A, B, and C were 89 (29%), 100 (33%), and 115 (38%), respectively. The mean BBPS score of the patients was 6.7 (±1.6). The mean CIT of the patients was 4.6 (±2.5) minutes. CIT was significantly longer in patients with a history of abdominal surgery (p=0.001). CIT among the endoscopists were significantly different (p<0.001), the shortest being observed for endoscopist A (2.9, 4.6, and 5.9 minutes for A, B, and C, respectively). Furthermore, CIT was significantly longer for the nurse-assisted method and patients with inadequate colon cleansing (p<0.001). Conclusion: The experience of endoscopist, colon cleansing score, and the nurse-assisted method were identified as the most important factors determining CIT. Adequate colon cleansing and the nurse-assisted method are changeable factors.