%0 Journal Article
%T Transparent-cap-fitted colonoscopy shows higher performance with cecal intubation time in difficult cases
%A Hyung Hun Kim
%A Seun Ja Park
%A Moo In Park
%A Won Moon
%J World Journal of Gastroenterology
%D 2012
%I Baishideng Publishing Group Co. Limited
%R 10.3748/wjg.v18.i16.1953
%X AIM: To investigate the efficacy of cap-fitted colonoscopy (CFC) with regard to cecal intubation time. METHODS: Two hundred and ninety-five patients undergoing screening colonoscopy at Gospel Hospital, Kosin University College of Medicine were enrolled in this randomized controlled trial between January and December 2010. Colonoscopies were conducted by a single endoscopist. Patient characteristics including age, sex, body mass index, history of abdominal surgery, quality of preparation, and the presence of diverticulosis were recorded. RESULTS: One hundred and fifty patients were allocated into a CFC group and 145 into a non-CFC (NCF) group. Cecal intubations were achieved in all patients. Cecal intubation time in the CFC group was significantly shorter than in the NCF group for specific conditions: age ¡Ý 60 years, prior abdominal surgery, and poor bowel preparation. The number of detected adenomas was higher in the CFC group than in the NCF group (P = 0.040). CONCLUSION: CFC facilitated shortening of the cecal intubation time in difficult cases, and was more sensitive for detecting adenomas than was NCF.
%K Colonoscopy
%K Cap-fitted colonoscopy
%K Cecal intubation
%U http://www.wjgnet.com/1007-9327/full/v18/i16/1953.htm