Do diverticular disease (DD) and/or prior abdominal or pelvic surgery (PAPS) influence the ability to perform complete colonoscopy (CC): A prospective study

M. L. Kozam, J. H. Lewis, D. E. Fleischer, M. Stark, F. Al-Kawas, G. M. Eisen, S. B. Benjamin

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

In a previous retrospective study at our center, the CC success rate in 1398 patients was found to be slightly lower among females (94.3%) compared to males (97.5%), p < 0.005. We therefore undertook a prospective evaluation to see whether this difference was maintained and to determine what factors might influence CC to the cecum. METHODS: We prospectively analyzed the presence of DD and/or a history of PAPS on the rate of CC performed by the GI faculty from January 1 through October 31, 1995. Of 922 colonoscopies, 101 were excluded due to partial colonic resection (70), inadequate prep (21), obstructing lesions (7), or sedation difficulties (2). χ2 analysis was used to compare subgroups. RESULTS: In 821 exams, the rate of CC was not significantly lower in females as compared to males (96.4% vs. 98.0%, p = 0.25). Analysis by DD and/or PAPS is given below: P A P S No P A P S p Males 118/120 98.3% 276/282 97.9% NS Females 227/236 96.1% 177/183 96.7% NS TOTAL 345/356 96.9% 453/465 97.4% NS D D No D D p Males 178/178 100.0% 216/224 96.4% < 0.05 Females 153/159 96.2% 251/260 96.5% NS TOTAL 331/337 98.2% 467/484 96.5% NS P A P S & D D No P A S or D D p Males 64/64 100.0% 162/168 96.4% NS Females 96/101 95.0% 120/125 96.0% NS TOTAL 160/165 97.0% 282/293 96.2% NS CONCLUSIONS: Neither DD, PAPS, nor gender, alone or in combination, appear to adversely affect the rate of CC as determined by this prospective study.

Original languageEnglish (US)
Number of pages1
JournalGastrointestinal endoscopy
Volume43
Issue number4
DOIs
StatePublished - Jan 1 1996

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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