Besler Evren, Celayir Mustafa F, Teke Emre, Akyuz Cebrail, Toker Süleyman
General Surgery & Surgical Endoscopy, Haydarpasa Numune Training and Research Hospital, Istanbul, TUR.
General Surgery & Gastrointestinal Surgery, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, TUR.
Cureus. 2023 Sep 12;15(9):e45135. doi: 10.7759/cureus.45135. eCollection 2023 Sep.
We aimed to compare three endoscopy operators who performed colonoscopy in three different styles in terms of procedure results, colonoscopy quality, and operator comfort during the procedure.
A total of 246 patients, who underwent routine screening colonoscopy for precancerous lesions between May and December 2022 in Istanbul Haydarpaşa Numune Education and Research Hospital, Istanbul, Turkey, were prospectively analyzed. The results of three different styles ( , and ) were compared with each other. The following criteria were examined: polyp/adenoma detection rate, number of polyps detected per patient, cecal intubation rate, total procedure time, number of endoscope corrective maneuvers, number of patient position corrections during the procedure, and the endoscopist's subjective pain scale after the procedure.
The number of corrections and changes in scope position, rates of changing the patient's position during the procedure, and the postprocedural fatigue degree of the endoscopist were the highest for the single-operator standing style (). The total processing time and post-procedure fatigue degree of the endoscopist were the lowest for the single-operator sitting style (). The adenoma detection rate was the highest for single-operator standing style ( and ). The strongest predictive factors for the total procedure time were the colonoscopy style and patient age. The strongest predictive factors for the change in the total number of detected polyps were colonoscopy style, patient gender, and patient age. Independent of all other factors, the total detected number of polyps was statistically significantly higher for the single-operator standing style compared to other styles () ().
Two conclusions were drawn from this study. For routine screening colonoscopy, the single-operator sitting style seems to be superior to other styles in terms of the shortest procedure time and the least tiring. However, the widely used single-operator standing style should be preferred over other styles in terms of the highest adenoma detection rate although it is most tiring and time-consuming.
我们旨在比较三名以三种不同方式进行结肠镜检查的内镜操作人员在操作结果、结肠镜检查质量以及操作过程中的操作人员舒适度方面的差异。
对2022年5月至12月在土耳其伊斯坦布尔海达尔帕夏努穆内教育与研究医院接受常规筛查结肠镜检查以检测癌前病变的246例患者进行前瞻性分析。比较三种不同方式（ 、 和 ）的结果。检查了以下标准：息肉/腺瘤检出率、每位患者检出的息肉数量、盲肠插管率、总操作时间、内镜校正操作次数、操作过程中患者体位校正次数以及操作后内镜医师的主观疼痛量表。
单人站立式操作（ ）在操作过程中的校正次数和镜身位置变化、操作过程中改变患者体位的频率以及操作后内镜医师的疲劳程度最高。单人坐姿操作（ ）的总操作时间和操作后内镜医师的疲劳程度最低。单人站立式操作（ 和 ）的腺瘤检出率最高。总操作时间的最强预测因素是结肠镜检查方式和患者年龄。检测到的息肉总数变化的最强预测因素是结肠镜检查方式、患者性别和患者年龄。独立于所有其他因素，单人站立式操作检测到的息肉总数在统计学上显著高于其他方式（ ）（ ）。
本研究得出两个结论。对于常规筛查结肠镜检查，单人坐姿操作在操作时间最短和最不累方面似乎优于其他方式。然而，尽管单人站立式操作最累且耗时，但在腺瘤检出率最高方面应优于其他方式。
