Department of Gastroenterology, The Second Affiliated Hospital of Suzhou University, Jiangsu Province, Suzhou, China.
Department of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Sichuan Province, Luzhou, China.
J Gastroenterol Hepatol. 2018 Jul;33(7):1365-1369. doi: 10.1111/jgh.14077. Epub 2018 Mar 23.
Various methods have been reported as aids to cecal intubation. This study aimed to prospectively investigate whether an abdominal obstetric binder (AOB) used during pregnancy and attached to the patients' abdomen during colonoscopy could facilitate effective colonoscopic insertion.
This was a prospective study of 451 consecutive outpatient colonoscopies performed by a single experienced endoscopist. The recruited patients were randomly separated into two groups that received colonoscopy either with (Group A) or without an AOB attached (Group B). The cecal intubation time, cecal intubation length of the colonoscope, use of manual pressure, position change of each patient, and the number of patients with abdominal distension were collected for comparison.
A total of 451 patients (224 in Group A and 227 in Group B) were ultimately included in this study. In Group A, cecal intubation time and cecal intubation length of colonoscope (CIL) were significantly reduced (P < 0.001). The patients had significantly fewer position changes and manual pressure in Group A (P < 0.001). Significantly less abdominal distension was reported by patients in Group A (P < 0.001).
During colonoscopy, the application of an AOB provided a significantly faster and more effective colonoscope insertion.
已有多种方法被报道可辅助盲肠插管。本研究旨在前瞻性调查在结肠镜检查期间使用妊娠期使用的腹部产科束带（AOB）是否可以促进有效的结肠镜插入。
这是一项由一名经验丰富的内镜医生进行的 451 例连续门诊结肠镜检查的前瞻性研究。招募的患者被随机分为两组，分别在接受结肠镜检查时使用（A 组）或不使用 AOB（B 组）。收集盲肠插管时间、结肠镜盲肠插管长度、手动压力使用、每位患者的体位变化以及腹胀患者的数量进行比较。
共有 451 例患者（A 组 224 例，B 组 227 例）最终纳入本研究。A 组的盲肠插管时间和结肠镜盲肠插管长度（CIL）明显缩短（P<0.001）。A 组患者的体位变化和手动压力明显减少（P<0.001）。A 组患者的腹胀明显减少（P<0.001）。
在结肠镜检查期间，应用 AOB 可显著加快并提高结肠镜插入的效果。
