지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 73 - 78 (6page)
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초록· 키워드
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Purpose: Prior abdomino-pelvic (AP) surgery makes colonoscopy difficult and can affect bowel preparation quality. However,bowel preparation quality has been found to vary according to prior AP surgery type. We examined the relationship of prior APsurgery type with bowel preparation quality in a large-scale retrospective cohort. Materials and Methods: In the health screening cohort of the National Cancer Center, 12881 participants who underwent screeningor surveillance colonoscopy between June 2007 and December 2014 were included. Personal data were collected by reviewingpatient medical records. Bowel preparation quality was assessed using the Aronchick scale and was categorized as satisfactoryfor excellent to good bowel preparation or unsatisfactory for fair to inadequate bowel preparation. Results: A total of 1557 (12.1%) participants had a history of AP surgery. The surgery types were colorectal surgery (n=44), gastric/small intestinal surgery (n=125), appendectomy/peritoneum/laparotomy (n=476), cesarean section (n=278), uterus/ovarian surgery(n=317), kidney/bladder/prostate surgery (n=19), or liver/pancreatobiliary surgery (n=96). The proportion of satisfactorybowel preparations was 70.7%. In multivariate analysis, unsatisfactory bowel preparation was related to gastric/small intestinalsurgery (odds ratio=1.764, 95% confidence interval=1.230–2.532, p=0.002). However, the other surgery types did not affect bowelpreparation quality. Current smoking, diabetes, and high body mass index were risk factors of unacceptable bowel preparation. Conclusion: Only gastric/small intestinal surgery was a potential risk factor for poor bowel preparation. Further research on patientswith a history of gastric/small intestinal surgery to determine appropriate methods for adequate bowel preparation is mandatory.
목차
등록된 정보가 없습니다.
참고문헌 (30)
참고문헌 신청
Corley DA / 2014 / Adenoma detection rate and risk of colorectal cancer and death / N Engl J Med 370:1298~1306
Nishihara R / 2013 / Long-term colorectal-cancer incidence and mortality after lower endoscopy / N Engl J Med 369:1095~1105
Citarda F / 2001 / Italian Multicentre Study Group. Efficacy in standard clinical practice of colonoscopic polypectomy in reducing colorectal cancer incidence / Gut 48:812~815
Rex DK / 2000 / Colorectal cancer prevention 2000: screening recommendations of the American College of Gastroenterology. American College of Gastroenterology / Am J Gastroenterol 95:868~877
Lindsay DC / 1988 / Should colonoscopy be the first investigation for colonic disease? / Br Med J (Clin Res Ed) 296:167~169
Nishihara R / 2013 / Long-term colorectal-cancer incidence and mortality after lower endoscopy / N Engl J Med 369:1095~1105
Citarda F / 2001 / Italian Multicentre Study Group. Efficacy in standard clinical practice of colonoscopic polypectomy in reducing colorectal cancer incidence / Gut 48:812~815
Rex DK / 2000 / Colorectal cancer prevention 2000: screening recommendations of the American College of Gastroenterology. American College of Gastroenterology / Am J Gastroenterol 95:868~877
Lindsay DC / 1988 / Should colonoscopy be the first investigation for colonic disease? / Br Med J (Clin Res Ed) 296:167~169
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