Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Nov-Dec;25(6):377-383.
doi: 10.4103/sjg.SJG_9_19.

Factors for cecal intubation time during colonoscopy in women: Impact of surgical history

Ji Hyung Nam  1 , Jung Hyeon Lee  2 , Jae Hak Kim  2 , Hyoun Woo Kang  2 , Dong Kee Jang  2 , Yun Jeong Lim  2 , Moon-Soo Koh  2 , Hyun Soo Park  3 , Eun-Cheol Park  4 , Jun Kyu Lee  2 , Jin Ho Lee  2
Affiliations

Factors for cecal intubation time during colonoscopy in women: Impact of surgical history

Ji Hyung Nam et al. Saudi J Gastroenterol. 2019 Nov-Dec.

Abstract

Background/aim: Cecal intubation during colonoscopy is prone to be prolonged in women, which may be related to frequent exposure to pelvic/abdominal surgery. We evaluated the association between Cecal Intubation Time (CIT) and prior episodes of pelvic/abdominal surgery in women.

Patients and methods: A cross-sectional study was conducted on screening participants who underwent colonoscopy. Multivariate regression with parameter estimates (β) was performed to determine the factors affecting CIT, including age, body mass index (BMI), bowel preparation, sedation, diverticulosis, experience of colonoscopists, and a surgical history. Also, subgroup analyses according to type of surgery were performed.

Results: A total of 835 women were enrolled. The mean CIT was 5.82 ± 3.40 min. 323 females (38.7%) had episodes of surgery. The CIT was prolonged in cases performed by non-experienced trainees (β = 3.61, P< 0.001) and with a history of gynecological surgery (β = 0.97, P = 0.001). In the subgroup of non-experienced trainees, lower BMI, poor preparation, and a history of cesarean section significantly prolonged the CIT. Also, the risk for difficult colonoscopy (CIT ≥ 15 min) was increased with a history of cesarean section (odds ratio = 4.43, P= 0.024).

Conclusion: A prior episode of gynecological surgery prolonged CIT. Also, cesarean section history was associated with difficult colonoscopy in the examination by non-experienced trainees.

Keywords: Cecal intubation time; cesarean section; colonoscopy; gynecological surgery; women.

PubMed Disclaimer

Conflict of interest statement

None

Figures

Figure 1
Figure 1
Study population.
See this image and copyright information in PMC

References

    1. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61:69–90. - PubMed
    1. Solad Y, Wang C, Laine L, Deng Y, Schwartz H, Ciarleglio MM, et al. Influence of colonoscopy quality measures on patients' colonoscopist selection. Am J Gastroenterol. 2015;110:215–9. - PMC - PubMed
    1. Rex DK, Schoenfeld PS, Cohen J, Pike IM, Adler DG, Fennerty MB, et al. Quality indicators for colonoscopy. Gastrointest Endosc. 2015;81:31–53. - PubMed
    1. Hsu CM, Lin WP, Su MY, Chiu CT, Ho YP, Chen PC. Factors that influence cecal intubation rate during colonoscopy in deeply sedated patients. J Gastroenterol Hepatol. 2012;27:76–80. - PubMed
    1. Takahashi Y, Tanaka H, Kinjo M, Sakumoto K. Prospective evaluation of factors predicting difficulty and pain during sedation-free colonoscopy. Dis Colon Rectum. 2005;48:1295–300. - PubMed