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- W2805596186 abstract "Although cap-assisted colonoscopy (CAC) may improve cecal intubation time, data on beginner trainee are lacking. We retrospectively compared standard colonoscopy (SC) and CAC conducted by beginner trainees. All colonoscopies performed by 4 gastroenterology fellows without past experience were eligible for this study. Exclusion criteria included prior colon resection or colon obstruction, emergent colonoscopy, or when the patient’s age was under 18 or over 85. Successful cecal intubation was considered as independent cecal intubation within 15 minutes. We compared CAC with SC for cecal intubation rate and intubation time. A total of 926 colonoscopies were analyzed. Cecal intubation rate was 87.4% (401/459) in CAC and 87.2% (407/467) in SC (P=0.92). In subgroup analysis, no trainee had the benefit of CAC regarding intubation rate. The cecal intubation rate was 64.0% (32/50) in CAC vs. 72.0% (36/50) in SC in the first 100 cases (P=0.52), and 77.6% in CAC vs. 78.4% in SC in 101-200 cases (P=1.00). Total mean cecal intubation time was 7.56 (SD 4.01) minutes in CAC, compared with 8.04 (SD 3.99) minutes for SC (P=0.75). In subgroup analysis, only one fellow had the benefit of CAC regarding intubation time (0.9 minutes). CAC did not affect the cecal intubation rate or intubation time of novice trainees.Tabled 1Cecal intubation rate and timeCharacteristicsOverall (N=926)Standard colonoscopy (n=467)Cap-assisted colonoscopy (n=459)P valueCecal intubationSuccess808/926 (87.3%)407/467 (87.2%)401/459 (87.4%)0.92Trainee A (n=307)284/307 (92.5%)137/152 (90.1%)147/155 (94.8%)0.13Trainee B (n=263)210/263 (79.8%)101/123 (82.1%)109/140 (77.9%)0.44Trainee C (n=188)176/188 (93.6%)106/112 (94.6%)70/76 (92.1%)0.55Trainee D (n=168)138/168 (n=82.1%)63/80 (78.8%)75/88 (85.2%)0.32Insertion time, mean (SD), min(N=915) 7.80 (4.01)(N=460) 8.04 (3.99)(N=455) 7.56 (4.01)0.75Trainee A (n=299)6.75 (3.58)7.21 (3.75)6.31 (3.37)0.03Trainee B (n=260)8.51 (4.31)8.74 (4.23)8.31 (4.38)0.43Trainee C (n=188)7.47 (3.61)7.56 (3.51)7.35 (3.77)0.69Trainee D (n=168)8.95 (4.14)9.15 (4.25)8.76 (4.05)0.55 Open table in a new tab" @default.
- W2805596186 created "2018-06-13" @default.
- W2805596186 creator A5046806395 @default.
- W2805596186 date "2018-06-01" @default.
- W2805596186 modified "2023-10-18" @default.
- W2805596186 title "Tu1104 CAP-ASSISTED COLONOSCOPY IN CECAL INTUBATION OF BEGINNER TRAINEE" @default.
- W2805596186 doi "https://doi.org/10.1016/j.gie.2018.04.2164" @default.
- W2805596186 hasPublicationYear "2018" @default.
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