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• W2945133344 abstract "The PCF-PH190L/I is among the new endoscopes Olympus has recently introduced as part of their EVIS EXERA III system. The ultra-slim colonoscope has an outer diameter of 9.7 mm and a 3.2 mm working channel width. Its advantages include reduced physician fatigue and patient discomfort. Cecal intubation rates are high with low mean cecal intubation times1. It has enhanced optical system with greater brightness, viewing angle and ultra-high definition imaging quality. It has a responsive insertion technology (RIT) technology with passive bending which allows easier movement through acute bends in the colon which improves operator control for both pushing and twisting maneuvers. It can be used in patients with previous incomplete colonoscopies with less or no sedation. The purpose of this study is to review a series of patients who underwent colonoscopy with a newly acquired ultra-slim colonoscope (Olympus PCF-PH190L/I) in a community ambulatory endoscopy center. A total of 13 colonoscopies were performed on 13 patients (10 women and 3 men), with a mean age of 64.5 years by five different providers. Common indications for colonoscopy were screening for colorectal cancer (38.4%), history of colon polyps (38.4%). The most common reason for ultra-slim colonoscope use were patient comfort (84.6 %), fixed sigmoid preventing passage of pediatric colonoscope (7.7%) and prior failed colon (7.7%). Results showed diverticulosis (76.9%), internal hemorrhoids (46.1%), polyps (30.7%), rectal gastrointestinal stromal tumor (7.6%) only one normal colonoscopy (7.6%). Our study showed use of an ultra-slim colonoscope had a cecal intubation rate of 92.3%. Patients with prior failed colonoscopy had successful cecal intubation. A large nuumber of patients also were selected to have colonoscopy with an ultra-slim scope for patient and provider comfort. Ultra-slim colonoscopy is reportedly preferred by patients for comfort and reduced sedation requirements making it an ideal choice for community gastroenterologists. It is used at many practices as a rescue in situations where standard colonoscopes have failed. Our study highlights the use of an ultra-slim scope in both rescue situations, and as the initial colonoscope of choice in an ambulatory endoscopy center. Further studies are needed to evaluate the use of ultra-slim colonoscopy and its indications and advantages.Table: Table. Results of a Case Series on a Initial Experience of a Community Gastroenterology Practice with Ultra-Slim Colonoscopy" @default.
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• W2945133344 date "2017-10-01" @default.
• W2945133344 modified "2023-10-16" @default.
• W2945133344 title "Initial Experience of a Community Gastroenterology Practice With Ultra-slim Colonoscopy: A Case Series" @default.
• W2945133344 doi "https://doi.org/10.14309/00000434-201710001-01540" @default.
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