Fukuzawa M, Uematsu J, Kono S, Suzuki S, Sato T, Yagi N, Tsuji Y, Yagi K, Kusano C, Gotoda T, Kawai T, Moriyasu F. Clinical impact of endoscopy position detecting unit (UPD-3) for a non-sedated colonoscopy. World J Gastroenterol 2015; 21(16): 4903-4910 [PMID: 25945003 DOI: 10.3748/wjg.v21.i16.4903]
Corresponding Author of This Article
Masakatsu Fukuzawa, MD, PhD, Department of Gastroenterology and Hepatology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjukuku, Tokyo 160-0023, Japan. masakatu8055@yahoo.co.jp
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Apr 28, 2015; 21(16): 4903-4910 Published online Apr 28, 2015. doi: 10.3748/wjg.v21.i16.4903
Table 1 Baseline characteristics of the patients n (%)
Overall
Conventional
UPD
P value
Patients
260
131
129
-
Female
90 (34.6)
48 (36.6)
42 (32.6)
0.726
Age (yr, mean ± SD)
62.5 ± 4.8
62.5 ± 5.3
62.9 ± 6.5
0.455
Abdominal surgery
20 (7.7)
9 (6.9)
11 (8.5)
0.334
Examination by an expert colonoscopist
166 (63.8)
83 (63.4)
83 (64.3)
0.768
Antispasmodics use
239 (91.9)
120 (91.6)
119 (92.2)
0.849
Table 2 Results of colonoscopy n (%)
Overall
Conventional
UPD
P value
Cecal intubation rate
100%
100%
100%
-
Cecal intubation time (min, mean ± SD)
12.9 ± 4.3
13.2 ± 4.1
12.5 ± 2.3
0.455
Cecal intubation time (< 15 mn)
182 (70.0)
92 (70.2)
90 (69.8)
0.935
Straight insertion methods
120 (46.1)
58 (44.3)
62 (48.1)
0.540
Change of the colonoscopist
6 (2.3)
4 (3.1)
2 (1.6)
0,420
Absence of pain
143 (55.0)
64 (48.9)
79 (61.2)
0.045
Table 3 Univariate and multivariate analysis of the factors affecting visual analog scale pain scores for colonoscope insertion
Factors
Pain
Univariate analysis
Multivariate analysis
P value
P value
OR
95%CI
Insertion methods (straight vs roping)
No
88/55
< 0.001
< 0.001
4.1
2.3-7.3
Yes
32/85
UPD vs Conventional
No
79/64
0.045
0.041
1.8
1.1-3.2
Yes
50/67
Expert vs Trainee
No
111/32
< 0.001
< 0.001
4.2
2.3-7.6
Yes
55/62
Abdominal surgery (+ vs -)
No
5/138
0.005
0.006
4.7
1.5-15.0
Yes
15/102
Gender (Male vs Female)
No
98/45
0.238
0.231
1.4
0.8-2.6
Yes
72/45
Antispasmodic (+ vs -)
No
132/11
0.801
Yes
107/10
Age (≥ 65 vs < 64)
No
72/71
0.774
Yes
61/56
Table 4 Univariate and multivariate analysis of factors affecting visual analog scale pain scores for colonoscope insertion by trainees
Factors
Pain
Univariate analysis
Multivariate analysis
P value
P value
OR
95%CI
Insertion methods (straight vs roping)
No
22/10
< 0.001
< 0.001
6.8
2.6-18.2
Yes
14/48
UPD vs conventional
No
21/11
0.020
0.043
2.7
1.1-7.2
Yes
25/37
Abdominal surgery (+ vs - )
No
1/31
0.252
0.429
2.6
0.2-28.8
Yes
6/56
Antispasmodic (+ vs -)
No
30/2
0.773
Yes
59/3
Age (≥ 65 vs < 64 )
No
16/16
0.767
Yes
33/29
Gender (Male vs Female)
No
21/11
0.961
Yes
41/21
Table 5 Univariate and multivariate analysis of factors affecting visual analog scale pain scores for colonoscope insertion by experts
Factors
Pain
Univariate analysis
Multivariate analysis
P value
P value
OR
95%CI
Insertion methods (straight vs roping)
No
66/45
0.001
0.002
3.0
1.5-5.9
Yes
18/37
Gender (Male vs Female)
No
77/34
0.098
0.486
1.3
0.6-2.8
Yes
31/24
UPD vs Conventional
No
58/53
0.410
Yes
25/30
Abdominal surgery (+ vs -)
No
4/107
0.422
Yes
9/46
Antispasmodic (+ vs -)
No
102/9
0.343
Yes
48/7
Age (≥ 65 vs < 64 )
No
84/27
0.958
Yes
28/27
Citation: Fukuzawa M, Uematsu J, Kono S, Suzuki S, Sato T, Yagi N, Tsuji Y, Yagi K, Kusano C, Gotoda T, Kawai T, Moriyasu F. Clinical impact of endoscopy position detecting unit (UPD-3) for a non-sedated colonoscopy. World J Gastroenterol 2015; 21(16): 4903-4910