Different position from traditional left lateral for colonoscopy? A meta-analysis and systematic review of randomized control trials
Background: Colonoscopy requires the intubation of the cecum for screening of colorectal diseases. The conventional position used for colonoscopy is the left lateral position (LLP). However, alternative positions have also been utilized to enhance the success of intubation. Thus, the aim of this stu...
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| Format: | Article |
| Language: | English |
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Wiley
2021-03-01
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| Series: | Chronic Diseases and Translational Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2095882X20300803 |
| _version_ | 1828472671218696192 |
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| author | Snow Yunni Lin Clyve Yu Leon Yaow Cheng Han Ng Neng Wei Wong Hui Yu Tham Choon Seng Chong |
| author_facet | Snow Yunni Lin Clyve Yu Leon Yaow Cheng Han Ng Neng Wei Wong Hui Yu Tham Choon Seng Chong |
| author_sort | Snow Yunni Lin |
| collection | DOAJ |
| description | Background: Colonoscopy requires the intubation of the cecum for screening of colorectal diseases. The conventional position used for colonoscopy is the left lateral position (LLP). However, alternative positions have also been utilized to enhance the success of intubation. Thus, the aim of this study was to perform a meta-analysis of the different positions to determine the effectiveness of the individual positions for successful colonoscopy. Methods: Medline, Embase and Cochrane trials electronic databases were searched for studies on colonoscopy positions. The primary outcome was defined as the cecal intubation rate. Pooled risk ratios (RR) and 95% confidence intervals (CI) for the rates of cecal intubation were estimated. Secondary outcomes such as the cecal intubation time and adenoma detection rate were further analyzed qualitatively. Results: After reviewing 644 identified records, 7 randomized control trials (RCT) studies were included. No significant difference was observed in either comparisons, between the LLP vs. supine position (SP) (RR = 1.01, 95% CI, 0.98 to 1.04, P = 0.55) or the LLP vs. prone position (PP) (RR = 1.02, 95% CI, 0.98 to 1.06, P = 0.27). Conclusions: Amidst available literature, the use of other positions can be considered when performing colonoscopy. These further highlights that the existential practice is based predominantly on familiarity instead of evidence-based-research. |
| first_indexed | 2024-12-11T05:33:11Z |
| format | Article |
| id | doaj.art-3b81c007314c4f9dbf105f9b515ff8d6 |
| institution | Directory Open Access Journal |
| issn | 2095-882X |
| language | English |
| last_indexed | 2024-12-11T05:33:11Z |
| publishDate | 2021-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Chronic Diseases and Translational Medicine |
| spelling | doaj.art-3b81c007314c4f9dbf105f9b515ff8d62022-12-22T01:19:22ZengWileyChronic Diseases and Translational Medicine2095-882X2021-03-01712734Different position from traditional left lateral for colonoscopy? A meta-analysis and systematic review of randomized control trialsSnow Yunni Lin0Clyve Yu Leon Yaow1Cheng Han Ng2Neng Wei Wong3Hui Yu Tham4Choon Seng Chong5Division of Colorectal Surgery, Department of Surgery, National University Hospital, Singapore 119228, SingaporeDivision of Colorectal Surgery, Department of Surgery, National University Hospital, Singapore 119228, SingaporeDivision of Colorectal Surgery, Department of Surgery, National University Hospital, Singapore 119228, SingaporeDivision of Colorectal Surgery, Department of Surgery, National University Hospital, Singapore 119228, SingaporeDivision of Colorectal Surgery, Department of Surgery, National University Hospital, Singapore 119228, SingaporeCorresponding author. Division of Colorectal Surgery, Department of Surgery, National University Hospital, Singapore 119228, Singapore.; Division of Colorectal Surgery, Department of Surgery, National University Hospital, Singapore 119228, SingaporeBackground: Colonoscopy requires the intubation of the cecum for screening of colorectal diseases. The conventional position used for colonoscopy is the left lateral position (LLP). However, alternative positions have also been utilized to enhance the success of intubation. Thus, the aim of this study was to perform a meta-analysis of the different positions to determine the effectiveness of the individual positions for successful colonoscopy. Methods: Medline, Embase and Cochrane trials electronic databases were searched for studies on colonoscopy positions. The primary outcome was defined as the cecal intubation rate. Pooled risk ratios (RR) and 95% confidence intervals (CI) for the rates of cecal intubation were estimated. Secondary outcomes such as the cecal intubation time and adenoma detection rate were further analyzed qualitatively. Results: After reviewing 644 identified records, 7 randomized control trials (RCT) studies were included. No significant difference was observed in either comparisons, between the LLP vs. supine position (SP) (RR = 1.01, 95% CI, 0.98 to 1.04, P = 0.55) or the LLP vs. prone position (PP) (RR = 1.02, 95% CI, 0.98 to 1.06, P = 0.27). Conclusions: Amidst available literature, the use of other positions can be considered when performing colonoscopy. These further highlights that the existential practice is based predominantly on familiarity instead of evidence-based-research.http://www.sciencedirect.com/science/article/pii/S2095882X20300803ColonoscopyEndoscopyMeta analysisPatient positioning |
| spellingShingle | Snow Yunni Lin Clyve Yu Leon Yaow Cheng Han Ng Neng Wei Wong Hui Yu Tham Choon Seng Chong Different position from traditional left lateral for colonoscopy? A meta-analysis and systematic review of randomized control trials Chronic Diseases and Translational Medicine Colonoscopy Endoscopy Meta analysis Patient positioning |
| title | Different position from traditional left lateral for colonoscopy? A meta-analysis and systematic review of randomized control trials |
| title_full | Different position from traditional left lateral for colonoscopy? A meta-analysis and systematic review of randomized control trials |
| title_fullStr | Different position from traditional left lateral for colonoscopy? A meta-analysis and systematic review of randomized control trials |
| title_full_unstemmed | Different position from traditional left lateral for colonoscopy? A meta-analysis and systematic review of randomized control trials |
| title_short | Different position from traditional left lateral for colonoscopy? A meta-analysis and systematic review of randomized control trials |
| title_sort | different position from traditional left lateral for colonoscopy a meta analysis and systematic review of randomized control trials |
| topic | Colonoscopy Endoscopy Meta analysis Patient positioning |
| url | http://www.sciencedirect.com/science/article/pii/S2095882X20300803 |
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