کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3262160 1207724 2014 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
One or two operator technique and quality performance of colonoscopy: A randomised controlled trial
ترجمه فارسی عنوان
یک یا دو تکنیک اپراتور و عملکرد کیفی کولونوسکوپی: یک آزمایش کنترل شده تصادفی
کلمات کلیدی
میزان تشخیص آدنوم، تکنیک کولونوسکوپی، یک اپراتور، دو اپراتور
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی غدد درون ریز، دیابت و متابولیسم
چکیده انگلیسی

BackgroundThe two-operator technique for colonoscopy, with the endoscopy assistant actively advancing and withdrawing the scope, is still commonly practiced in Europe. As uncontrolled data has suggested that the one-operator technique is associated with a higher adenoma detection rate, we tested the hypothesis that the two-operator-technique can achieve comparable performances in terms of adenoma detection.MethodsNon-inferiority trial in which consecutive adult outpatients were randomised to undergo colonoscopy by one (one-operator) or by four endoscopists. Each performed half the procedures by one-operator and half by two-operator technique independently of routine clinical practice. Main outcome measure was adenoma detection rate.Results352 subjects (49% males, mean age 60 ± 12.1 years) were randomised to one (n = 176) or to two-operator technique (n = 176) colonoscopy. No significant differences were found in adenoma detection (33% vs. 30.7%, p = 0.65), or cecal intubation rate, procedure times, and patient tolerability. No differences were found in the subgroup analysis according to routinely adopted colonoscopy technique.ConclusionsThis study does not confirm a higher adenoma detection rate for one-operator technique colonoscopy. Changing current practice to improve adenoma detection rate for endoscopists routinely using two-operator technique is not warranted.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Digestive and Liver Disease - Volume 46, Issue 7, July 2014, Pages 616–620
نویسندگان
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