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dc.contributor.authorLam, Jacob
dc.contributor.authorWilkinson, James
dc.contributor.authorBrassett, Cecilia
dc.contributor.authorBrown, Jonathan
dc.date.accessioned2018-09-10T22:14:11Z
dc.date.available2018-09-10T22:14:11Z
dc.identifier.issn2364-3722
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/279986
dc.description.abstractBackground and study aim Magnetic imaging technology is of proven benefit to trainees in colonoscopy, but few studies have examined its benefits in experienced hands. There is evidence that colonoscopy is more difficult in women. We set out to investigate (i) associations between the looping configurations in the proximal and distal colon and (ii) differences in the looping prevalence between the sexes. We have examined their significance in terms of segmental intubation times and position changes required for the completion of colonoscopy. Patients and methods We analyzed 103 consecutive synchronized luminal and magnetic image videos of diagnostic colonoscopies with normal anatomy undertaken by a single experienced operator. Results Deep transverse loops and sigmoid N-loops were more common in females. A deep transverse loop was more likely to be present if a sigmoid alpha-loop or N-loop had formed previously. Patients with sigmoid N-loops were turned more frequently from left lateral to supine before the sigmoid-descending junction was reached, but there was no statistical correlation between completion time and looping pattern. Conclusions This study has reexamined the prevalence of the common looping patterns encountered during colonoscopy and has identified differences between the sexes. This finding may offer an explanation as to why colonoscopy has been shown to be more difficult in females. Although a deep transverse loop following a resolved sigmoid alpha loop was the most commonly encountered pattern, no statistical correlation between completion time and looping pattern could be shown. It is the first study to examine segmental completion times using a magnetic imager in expert hands.
dc.languageen
dc.publisherGeorg Thieme Verlag KG
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.titleEndoscopy International Open
dc.typeArticle
prism.publicationNameEndoscopy International Open
dc.identifier.doi10.17863/CAM.27352
dcterms.dateAccepted2017-11-13
rioxxterms.versionofrecord10.1055/s-00025476
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2017-11-13
dc.contributor.orcidBrassett, Cecilia [0000-0003-3621-9445]
dc.identifier.eissn2196-9736
rioxxterms.typeJournal Article/Review
cam.issuedOnline2018-05-01


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Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
Except where otherwise noted, this item's licence is described as Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)