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KMID : 0359020110420050283
Korean Journal of Gastrointestinal Endoscopy
2011 Volume.42 No. 5 p.283 ~ p.288
Effect of Previous Abdominal or Pelvic Surgery on Colonoscopy
Jeong Chang-Uk

Shim Sang-Goon
Park Geon-Tae
Oh Ji-Eun
Lee Ji-Eun
Woo Jae-Gon
Cho Dae-Hyeon
Yu Kil-Jong
Abstract
Background/Aims: A number of studies have reported wide variability in the colonoscope insertion time among patients who had prior abdominal surgery. The aim of this study was to investigate the effect of abdominal surgery on colonoscope insertion time.

Methods: The subjects were 192 patients with prior abdominal surgery, among 3,600 patients who underwent a colonoscopy at Samsung Changwon Hospital from May 2008 to May 2010. We collected the following data: insertion time, age, gender, height, weight, BMI, waist circumference, method of abdominal surgery, and the degree of bowel cleanliness. Previous abdominal operations were divided into colectomy, non-colectomy abdominal surgery, pelvic surgery, and laparoscopic surgery groups.

Results: The average colonoscope insertion time in patients with prior abdominal surgery (7.73¡¾5.95 min) was longer than that of the non-surgery group (6.4¡¾3.88 min). Patients in the colectomy groups were older and had a shorter insertion time (5.11¡¾3.32 min) than patients in the other groups.

Conclusions: Insertion of a colonoscope in patients wit h previous abdominal surgery was more difficult than that in the control group, except the colectomy group.
KEYWORD
Prior abdominal surgery, Colonoscopy insertion time
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