Obesity and Cecal Intubation Time
3
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Background/Aims: Obesity is a much-debated factor with conflicting evidence regarding its association with cecum intubation rates during colonoscopy. We aimed to identify the association between cecal intubation (CI) time and obesity by eliminating confounding factors. Methods: A retrospective chart review of subjects undergoing outpatient colonoscopy was conducted. The population was categorized by sex and obesity (body mass index [BMI, kg/m2]: I, <24.9; II, 25 to 29.9; III, ≥30). CI time was used as a marker for a difficult colonoscopy. Mean CI times (MCT) were compared for statistical significance using analysis of variance tests. Results: A total of 926 subjects were included. Overall MCT was 15.7±7.9 minutes, and it was 15.9±7.9 and 15.5±7.9 minutes for men and women, respectively. MCT among women for BMI category I, II, and III was 14.4±6.5, 15.5±8.3, and 16.2±8.1 minutes (p=0.55), whereas for men, it was 16.3±8.9, 15.9±8.0, and 15.6±7.2 minutes (p=0.95), respectively. Conclusions: BMI had a positive association with CI time for women, but had a negative association with CI for men.
Abstract
Background/Aims: Obesity is a much-debated factor with conflicting evidence regarding its association with cecum intubation rates during colonoscopy. We aimed to identify the association between cecal intubation (CI) time and obesity by eliminating confounding factors. Methods: A retrospective chart review of subjects undergoing outpatient colonoscopy was conducted. The population was categorized by sex and obesity (body mass index [BMI, kg/m2]: I, <24.9; II, 25 to 29.9; III, ≥30). CI time was used as a marker for a difficult colonoscopy. Mean CI times (MCT) were compared for statistical significance using analysis of variance tests. Results: A total of 926 subjects were included. Overall MCT was 15.7±7.9 minutes, and it was 15.9±7.9 and 15.5±7.9 minutes for men and women, respectively. MCT among women for BMI category I, II, and III was 14.4±6.5, 15.5±8.3, and 16.2±8.1 minutes (p=0.55), whereas for men, it was 16.3±8.9, 15.9±8.0, and 15.6±7.2 minutes (p=0.95), respectively. Conclusions: BMI had a positive association with CI time for women, but had a negative association with CI for men.
참고문헌 (19)
- Robert S. Bresalier, "Early Detection of and Screening for Colorectal Neoplasia", Gut and Liver, 3(2), pp.69~80 (2009), 거트앤리버 발행위원회
- "Colorectal cancer: estimated incidence, mortality and prevalence Worldwide in 2012" (2016)[URL]
- "Key statistics for colorectal cancer" (2016)[URL]
- Moghaddam AA, "Obesity and risk of colorectal cancer: a meta-analysis of 31 studies with 70,000 events", Cancer Epidemiol Biomarkers Prev, 16, pp.2533~2547 (2007)
- Moore LL, "BMI and waist circumference as predictors of lifetime colon cancer risk in Framingham Study adults", Int J Obes Relat Metab Disord, 28, pp.559~567 (2004)
- Adams KF, "Body mass and colorectal cancer risk in the NIH-AARP cohort", Am J Epidemiol, 166, pp.36~45 (2007)
- Laiyemo AO, "Obesity, weight change, and risk of adenoma recurrence: a prospective trial", Endoscopy, 44, pp.813~818 (2012)
- Waye JD, "Completing colonoscopy", Am J Gastroenterol, 95, pp.2681~2682 (2000)
- Cirocco WC, "Factors that predict incomplete colonoscopy", Dis Colon Rectum, 38, pp.964~968 (1995)
- Oh SY, "Factors affecting the technical difficulty of colonoscopy", Hepatogastroenterology, 54, pp.1403~1406 (2007)
- Hsieh YH, "Factors that predict cecal insertion time during sedated colonoscopy: the role of waist circumference", J Gastroenterol Hepatol, 23, pp.215~217 (2008)
- Borg BB, "Impact of obesity on bowel preparation for colonoscopy", Clin Gastroenterol Hepatol, 7, pp.670~675 (2009)
- Ogden CL, "Prevalence of obesity in the United States, 2009-2010", NCHS Data Brief, (82), pp.1~8 (2012)
- Berghöfer A, "Obesity prevalence from a European perspective: a systematic review", BMC Public Health, 8, pp.200~ (2008)
- Witte TN, "The difficult colonoscopy", Can J Gastroenterol, 21, pp.487~490 (2007)
- Nagata N, "Predictors for cecal insertion time:the impact of abdominal visceral fat measured by computed tomography", Dis Colon Rectum, 57, pp.1213~1219 (2014)
- Park HJ, "Predictive factors affecting cecal intubation failure in colonoscopy trainees", BMC Med Educ, 13, pp.5~ (2013)
- Scafoglieri A, "Use of anthropometry for the prediction of regional body tissue distribution in adults: benefits and limitations in clinical practice", Aging Dis, 5, pp.373~393 (2013)
- "From calipers to CAT Scans, ten ways to tell whether a body is fat or lean" (2016)[URL]