Gastronet survey on the use of one- or two-person technique for colonoscopy insertion

BMC Gastroenterology

Research Article

Michael Bretthauer¹  Thomas deLange²  Ingrid Berset³  Ove Lange⁴  Ole Høie⁵  Gert Huppertz-Hauss⁶  Moritz Volker⁶  Geir Hoff⁶  Per Sandvei⁷  Tom Glomsaker⁸  Lars Aabakken⁹  Øystein Kjellevold^1,10 

[1] Cancer Registry of Norway, Oslo University Hospital, Montebello, 0304, Oslo, Norway;Dept of Medicine, Bærum Hospital Vestre Viken HF, 1309, Rud, Norway;Dept of Medicine, Helse Sunnmøre HF, Ålesund Hospital, 6026, Ålesund, Norway;Dept of Medicine, Molde Hospital, Dept of Medicine, 6407, Molde, Norway;Dept of Medicine, Sørlandet Hospital Arendal, 4809, Arendal, Norway;Dept of Medicine, Telemark Hospital, 3710, Skien, Norway;Dept of Medicine, Østfold Hospital Trust, 1603, Fredrikstad, Norway;Dept of Surgery, Stavanger University Hospital, 4068, Stavanger, Norway;Oslo University Hospital Rikshospitalet, Dept of Medicine, 0027, Oslo, Norway;Telemark Hospital Kragerø, 3770, Kragerø, Norway;

关键词: Quality Assurance Programme;    Intubation Rate;    Adenoma Detection Rate;    Insertion Technique;    Withdrawal Time;   

DOI  :  10.1186/1471-230X-11-73

 received in 2011-02-09, accepted in 2011-06-14,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundUsually, colonoscopy insertion is performed by the colonoscopist (one-person technique). Quite common in the early days of endoscopy, the assisting nurse is now only rarely doing the insertion (two-person technique). Using the Norwegian national endoscopy quality assurance (QA) programme, Gastronet, we wanted to explore the extent of two-person technique practice and look into possible differences in performance and QA output measures.Methods100 colonoscopists in 18 colonoscopy centres having reported their colonoscopies to Gastronet between January and December 2009 were asked if they practiced one- or two-person technique during insertion of the colonoscope. They were categorized accordingly for comparative analyses of QA indicators.Results75 endoscopists responded to the survey (representing 9368 colonoscopies) - 62 of them (83%) applied one-person technique and 13 (17%) two-person technique. Patients age and sex distributions and indications for colonoscopy were also similar in the two groups. Caecal intubation was 96% in the two-person group compared to 92% in the one-person group (p < 0.001). Pain reports were similar in the groups, but time to the caecum was shorter and the use of sedation less in the two-person group.ConclusionTwo-person technique for colonoscope insertion was practiced by a considerable minority of endoscopists (17%). QA indicators were either similar to or better than one-person technique. This suggests that there may be some beneficial elements to this technique worth exploring and try to import into the much preferred one-person insertion technique.

【 授权许可】

Unknown   
© Hoff et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.