FIRST CLINICAL-RESULTS WITH A REAL-TIME, ELECTRONIC IMAGER AS AN AID TO COLONOSCOPY

被引:50
作者
SAUNDERS, BP
BELL, GD
WILLIAMS, CB
BLADEN, JS
ANDERSON, AP
机构
[1] IPSWICH HOSP,IPSWICH,SUFFOLK,ENGLAND
[2] UNIV SHEFFIELD,DEPT ENGN,SHEFFIELD,S YORKSHIRE,ENGLAND
关键词
COLONOSCOPY; REAL TIME ELECTRONIC IMAGER;
D O I
10.1136/gut.36.6.913
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The early clinical results are described of a real time, electromagnetic imaging system as an aid to colonoscopy. After gaining experience with the use of the system, one experienced endoscopist was randomised to perform consecutive colonoscopies either with (n=29) or without (n=26) the imager view. Ah procedures were recorded on computer disk and replayed for retrospective analysis. Total colonoscopy was achieved in all patients except one (imager view not available). Comparing intubation time and duration of loop formation per patient, there was no significant difference between the two study groups. The number of attempts taken to straighten the colonoscope per patient, however, was less when the endoscopist was able to see the imager view, p=0.03. Hand pressure was also more effective when the endoscopist and endoscopy assistant could see the imager display, p=0.02. Preliminary experience suggests that real time, electronic imaging of colonoscopy is safe, effective, and will improve the accuracy of the procedure.
引用
收藏
页码:913 / 917
页数:5
相关论文
共 14 条
[1]  
ALDRIDGE MC, 1986, LANCET, V2, P833
[2]   USEFULNESS OF PEDIATRIC COLONOSCOPES IN ADULT COLONOSCOPY [J].
BAT, L ;
WILLIAMS, CB .
GASTROINTESTINAL ENDOSCOPY, 1989, 35 (04) :329-332
[3]   NON-RADIOLOGICAL TECHNIQUE FOR 3-DIMENSIONAL IMAGING OF ENDOSCOPES [J].
BLADEN, JS ;
ANDERSON, AP ;
BELL, GD ;
RAMEH, B ;
EVANS, B ;
HEATLEY, DJT .
LANCET, 1993, 341 (8847) :719-722
[4]   ANGIODYSPLASIA - AN UNCOMMON CAUSE OF COLONIC BLEEDING - COLONOSCOPIC EVALUATION OF 1,050 PATIENTS WITH RECTAL BLEEDING AND ANEMIA [J].
DANESH, BJZ ;
SPILIADIS, C ;
WILLIAMS, CB ;
ZAMBARTAS, CM .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 1987, 2 (04) :218-222
[5]  
DURDEY P, 1987, LANCET, V2, P549
[6]   PROSPECTIVE COMPARISON OF DOUBLE CONTRAST BARIUM ENEMA PLUS FLEXIBLE SIGMOIDOSCOPY NU-COLONOSCOPY IN RECTAL BLEEDING - BARIUM ENEMA NU-COLONOSCOPY IN RECTAL BLEEDING [J].
IRVINE, EJ ;
OCONNOR, J ;
FROST, RA ;
SHORVON, P ;
SOMERS, S ;
STEVENSON, GW ;
HUNT, RH .
GUT, 1988, 29 (09) :1188-1193
[7]   SHOULD COLONOSCOPY BE THE 1ST INVESTIGATION FOR COLONIC DISEASE [J].
LINDSAY, DC ;
FREEMAN, JG ;
COBDEN, I ;
RECORD, CO .
BRITISH MEDICAL JOURNAL, 1988, 296 (6616) :167-169
[8]   COMPETENCE AND THE COLONOSCOPIST - A LEARNING-CURVE [J].
PARRY, BR ;
WILLIAMS, SM .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 1991, 61 (06) :419-422
[9]  
Ravi J, 1988, ENDOSCOPY, V20, P43
[10]  
SAUNDERS BP, 1993, GUT, V34, pT179