Newly-developed colonoscope (PCF-PQ260L) is useful for patients with difficult colons.

Inoki K; Yamada M; Kuwabara H; Takamaru H; Sekiguchi M; Sakamoto T; Matsuda T; Saito Y

doi:10.5152/tjg.2019.18789

Newly-developed colonoscope (PCF-PQ260L) is useful for patients with difficult colons.

Inoki K, Yamada M, Kuwabara H, Takamaru H, Sekiguchi M, Sakamoto T, Matsuda T, Saito Y

The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2019 · doi:10.5152/tjg.2019.18789 · PMID:31290751 · PMC6629285

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This retrospective study found that the newly developed PCF-PQ260L colonoscope achieved comparable intubation rates to standard scopes while significantly reducing procedure time, pain, and sedative requirements in patients with difficult colons.

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This retrospective single-center study evaluated the PCF-PQ260L colonoscope, designed to facilitate total colonoscopy in patients with difficult anatomy such as adhesions or long colons. The researchers compared performance metrics and patient outcomes between this new device and standard scopes, noting that while baseline characteristics like height and weight differed, intubation rates remained comparable. Direct comparison on the same patients demonstrated that the new scope significantly reduced cecal intubation time and increased the proportion of patients experiencing no pain or requiring sedation. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Background/aimsPreforming total colonoscopy (TCS) is sometimes difficult due to adhesions or long colons. The PCF-PQ260L (PQL) was developed to overcome TCS-related difficulties. The aim of this study was to investigate the performance and usefulness of PQL for difficult colon cases.Materials and methodsThis was a retrospective single center observational cohort study investigating differences in patient characteristics and examination performance between patients examined with PQL, versus standard (SD), scopes. Secondly, we directly compared PQL and SD scopes in patients treated with both types of scope.ResultsThe PQL was used with 105 patients and SD scopes were used with 1119 patients. Patients in the PQL group were significantly shorter (157cm vs 163cm, p< 0.01) and lighter, compared to the SD group (52 kg vs 58 kg, p< 0.01). There were no significant statistical differences with regard to cecal intubation rate, cecal intubation time, and adenoma detection. Direct comparison of use of PQL and SD scopes on the same patients revealed shorter average cecal intubation time (7 min vs 10 min, p< 0.01), and significantly increased numbers of patients reporting no pain (66 % vs 20 %, p< 0.01) and needing no sedative drugs (48% vs 25 %, p< 0.01) associated with PQL use.ConclusionThe examination performance of the PQL scope was similar to the SD scope. The PQL may be a good option for patients who with difficult colons.

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Full Text Full Text PDF Abstract Abstract Background/Aims: Preforming total colonoscopy (TCS) is sometimes difficult due to adhesions or long colons. The PCF-PQ260L (PQL) was developed to overcome TCS-related difficulties. The aim of this study was to investigate the performance and usefulness of PQL for difficult colon cases. Materials and Methods: This was a retrospective single center observational cohort study investigating differences in patient characteristics and examination performance between patients examined with PQL, versus standard (SD), scopes. Secondly, we directly compared PQL and SD scopes in patients treated with both types of scope. Results: The PQL was used with 105 patients and SD scopes were used with 1119 patients. Patients in the PQL group were significantly shorter (157cm vs 163cm, p< 0.01) and lighter, compared to the SD group (52 kg vs 58 kg, p< 0.01). There were no significant statistical differences with regard to cecal intubation rate, cecal intubation time, and adenoma detection. Direct comparison of use of PQL and SD scopes on the same patients revealed shorter average cecal intubation time (7 min vs 10 min, p< 0.01), and significantly increased numbers of patients reporting no pain (66 % vs 20 %, p< 0.01) and needing no sedative drugs (48% vs 25 %, p< 0.01) associated with PQL use. Conclusion: The examination performance of the PQL scope was similar to the SD scope. The PQL may be a good option for patients who with difficult colons. Cite this article as: Inoki K, Yamada M, Kuwabara H, et al. Newly-developed colonoscope (PCF-PQ260L) is useful for patients with difficult colons. Turk J Gastroenterol 2019; 30(7): 630-5. Most read articles by the same author(s) - Haruhisa Suzuki, Ichiro Oda, Masau Sekiguchi, Seiichiro Abe, Satoru Nonaka, Shigetaka Yoshinaga, Process of technical stabilization of gastric endoscopic submucosal dissection at the National Cancer Center in Japan , Turkish Journal of Gastroenterology: Vol. 25 No. 6 (2014): Turkish Journal of Gastroenterology Article Info Published In Journal Turkish Journal of Gastroenterology Volume / Issue Volume 30 · Issue 7 Pages 630-635 History Published Online July 15, 2019 Copyright Copyright (c) 2019 Kazuya Inoki, Masayoshi Yamada, Hiroki Kuwabara, Hiroyuki Takamaru, Masau Sekiguchi, Taku Sakamoto, Takahisa Matsuda, Yutaka Saito Affiliations Kazuya Inoki Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan Masayoshi Yamada Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan Hiroki Kuwabara Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan Hiroyuki Takamaru Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan Masau Sekiguchi Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan Taku Sakamoto Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan Takahisa Matsuda Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan Yutaka Saito Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan Cite this Article Inoki, K., Yamada, M., Kuwabara, H., Takamaru, H., Sekiguchi, M., Sakamoto, T., … Saito, Y. (2019). Newly-developed colonoscope (PCF-PQ260L) is useful for patients with difficult colons. Turkish Journal of Gastroenterology, 30(7), 630–635. https://doi.org/10.5152/tjg.2019.18789 Outlines

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