Risk Factors Associated with Painful Colonoscopy and Prolonged Cecal Intubation Time in Female Patients
Objectives: Few studies have examined risk factors leading to painful colonoscopy and prolonged cecal intubation time in female patients. We aimed to determine the factors associated with painful colonoscopy and prolonged cecal intubation time in female patients. Methods: This retrospective study an...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The Japan Society of Coloproctology
2023-07-01
|
| Series: | Journal of the Anus, Rectum and Colon |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jarc/7/3/7_2022-079/_pdf/-char/en |
| _version_ | 1797773305811304448 |
|---|---|
| author | Yasuhiko Hamada Kyosuke Tanaka Yohei Ikenoyama Noriyuki Horiki Junya Tsuboi Reiko Yamada Misaki Nakamura Hayato Nakagawa |
| author_facet | Yasuhiko Hamada Kyosuke Tanaka Yohei Ikenoyama Noriyuki Horiki Junya Tsuboi Reiko Yamada Misaki Nakamura Hayato Nakagawa |
| author_sort | Yasuhiko Hamada |
| collection | DOAJ |
| description | Objectives: Few studies have examined risk factors leading to painful colonoscopy and prolonged cecal intubation time in female patients. We aimed to determine the factors associated with painful colonoscopy and prolonged cecal intubation time in female patients.
Methods: This retrospective study analyzed prospectively collected data from a randomized controlled trial with female patients who underwent colonoscopy. Multivariate logistic and linear regression analyses were performed using the following factors that might be associated with painful colonoscopy and prolonged cecal intubation time, respectively: age, body mass index, history of colonoscopy, previous abdominal surgery, routine use of laxatives, inadequate bowel preparation, sigmoid colon diverticulosis, use of a small-caliber colonoscope, and an inexperienced operator.
Results: The study enrolled 219 female patients aged >20 years. Using the receiver operating characteristic curve, painful colonoscopy was defined in cases where the visual analogue scale of overall pain was 50 mm. Logistic regression analysis for risk factors associated with painful colonoscopy revealed that sigmoid colon diverticulosis [odds ratio (OR), 2.496; 95% confidence interval (CI), 1.013-5.646; p=0.028] was a risk factor for painful colonoscopy; conversely, the use of a small-caliber colonoscope was a negative factor for painful colonoscopy (OR, 0.436; 95% CI, 0.214-0.889, p=0.022). In linear regression analysis, inadequate bowel preparation was significantly associated with prolonged cecal intubation time (β-coefficient, 3.583; 95% confidence interval, 0.578-6.588; p=0.020).
Conclusions: Female patients with sigmoid colon diverticulosis are more likely to experience severe pain during colonoscopy, and those with inadequate bowel preparation may require more time for cecal intubation. |
| first_indexed | 2024-03-12T22:03:30Z |
| format | Article |
| id | doaj.art-d16510540bbd406fb671fc6b95439d75 |
| institution | Directory Open Access Journal |
| issn | 2432-3853 |
| language | English |
| last_indexed | 2024-03-12T22:03:30Z |
| publishDate | 2023-07-01 |
| publisher | The Japan Society of Coloproctology |
| record_format | Article |
| series | Journal of the Anus, Rectum and Colon |
| spelling | doaj.art-d16510540bbd406fb671fc6b95439d752023-07-25T02:32:48ZengThe Japan Society of ColoproctologyJournal of the Anus, Rectum and Colon2432-38532023-07-017316817510.23922/jarc.2022-0792022-079Risk Factors Associated with Painful Colonoscopy and Prolonged Cecal Intubation Time in Female PatientsYasuhiko Hamada0Kyosuke Tanaka1Yohei Ikenoyama2Noriyuki Horiki3Junya Tsuboi4Reiko Yamada5Misaki Nakamura6Hayato Nakagawa7Department of Gastroenterology and Hepatology, Mie University HospitalDepartment of Gastroenterology and Hepatology, Mie University HospitalDepartment of Gastroenterology and Hepatology, Mie University HospitalDepartment of Gastroenterology and Hepatology, Mie University HospitalDepartment of Gastroenterology and Hepatology, Mie University HospitalDepartment of Gastroenterology and Hepatology, Mie University HospitalDepartment of Gastroenterology and Hepatology, Mie University HospitalDepartment of Gastroenterology and Hepatology, Mie University HospitalObjectives: Few studies have examined risk factors leading to painful colonoscopy and prolonged cecal intubation time in female patients. We aimed to determine the factors associated with painful colonoscopy and prolonged cecal intubation time in female patients. Methods: This retrospective study analyzed prospectively collected data from a randomized controlled trial with female patients who underwent colonoscopy. Multivariate logistic and linear regression analyses were performed using the following factors that might be associated with painful colonoscopy and prolonged cecal intubation time, respectively: age, body mass index, history of colonoscopy, previous abdominal surgery, routine use of laxatives, inadequate bowel preparation, sigmoid colon diverticulosis, use of a small-caliber colonoscope, and an inexperienced operator. Results: The study enrolled 219 female patients aged >20 years. Using the receiver operating characteristic curve, painful colonoscopy was defined in cases where the visual analogue scale of overall pain was 50 mm. Logistic regression analysis for risk factors associated with painful colonoscopy revealed that sigmoid colon diverticulosis [odds ratio (OR), 2.496; 95% confidence interval (CI), 1.013-5.646; p=0.028] was a risk factor for painful colonoscopy; conversely, the use of a small-caliber colonoscope was a negative factor for painful colonoscopy (OR, 0.436; 95% CI, 0.214-0.889, p=0.022). In linear regression analysis, inadequate bowel preparation was significantly associated with prolonged cecal intubation time (β-coefficient, 3.583; 95% confidence interval, 0.578-6.588; p=0.020). Conclusions: Female patients with sigmoid colon diverticulosis are more likely to experience severe pain during colonoscopy, and those with inadequate bowel preparation may require more time for cecal intubation.https://www.jstage.jst.go.jp/article/jarc/7/3/7_2022-079/_pdf/-char/encecal intubation timecolonoscopycolorectal cancerpainwoman |
| spellingShingle | Yasuhiko Hamada Kyosuke Tanaka Yohei Ikenoyama Noriyuki Horiki Junya Tsuboi Reiko Yamada Misaki Nakamura Hayato Nakagawa Risk Factors Associated with Painful Colonoscopy and Prolonged Cecal Intubation Time in Female Patients Journal of the Anus, Rectum and Colon cecal intubation time colonoscopy colorectal cancer pain woman |
| title | Risk Factors Associated with Painful Colonoscopy and Prolonged Cecal Intubation Time in Female Patients |
| title_full | Risk Factors Associated with Painful Colonoscopy and Prolonged Cecal Intubation Time in Female Patients |
| title_fullStr | Risk Factors Associated with Painful Colonoscopy and Prolonged Cecal Intubation Time in Female Patients |
| title_full_unstemmed | Risk Factors Associated with Painful Colonoscopy and Prolonged Cecal Intubation Time in Female Patients |
| title_short | Risk Factors Associated with Painful Colonoscopy and Prolonged Cecal Intubation Time in Female Patients |
| title_sort | risk factors associated with painful colonoscopy and prolonged cecal intubation time in female patients |
| topic | cecal intubation time colonoscopy colorectal cancer pain woman |
| url | https://www.jstage.jst.go.jp/article/jarc/7/3/7_2022-079/_pdf/-char/en |
| work_keys_str_mv | AT yasuhikohamada riskfactorsassociatedwithpainfulcolonoscopyandprolongedcecalintubationtimeinfemalepatients AT kyosuketanaka riskfactorsassociatedwithpainfulcolonoscopyandprolongedcecalintubationtimeinfemalepatients AT yoheiikenoyama riskfactorsassociatedwithpainfulcolonoscopyandprolongedcecalintubationtimeinfemalepatients AT noriyukihoriki riskfactorsassociatedwithpainfulcolonoscopyandprolongedcecalintubationtimeinfemalepatients AT junyatsuboi riskfactorsassociatedwithpainfulcolonoscopyandprolongedcecalintubationtimeinfemalepatients AT reikoyamada riskfactorsassociatedwithpainfulcolonoscopyandprolongedcecalintubationtimeinfemalepatients AT misakinakamura riskfactorsassociatedwithpainfulcolonoscopyandprolongedcecalintubationtimeinfemalepatients AT hayatonakagawa riskfactorsassociatedwithpainfulcolonoscopyandprolongedcecalintubationtimeinfemalepatients |