Abstract
The early clinical results are described of a real time, electromagnetic imaging system as an aid to colonoscopy. After gaining experience with the use of the system, one experienced endoscopist was randomised to perform consecutive colonoscopies either with (n = 29) or without (n = 26) the imager view. All procedures were recorded on computer disk and replayed for retrospective analysis. Total colonoscopy was achieved in all patients except one (imager view not available). Comparing intubation time and duration of loop formation per patient, there was no significant difference between the two study groups. The number of attempts taken to straighten the colonoscope pre patient, however, was less when the endoscopist was able to see the imager view, p = 0.03. Hand pressure was also more effective when the endoscopist and endoscopy assistant could see the imager display, p = 0.02. Preliminary experience suggests that real time, electronic imaging of colonoscopy is safe, effective, and will improve the accuracy of the procedure.
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- Aldridge M. C., Sim A. J. Colonoscopy findings in symptomatic patients without X-ray evidence of colonic neoplasms. Lancet. 1986 Oct 11;2(8511):833–834. doi: 10.1016/s0140-6736(86)92869-2. [DOI] [PubMed] [Google Scholar]
- Bat L., Williams C. B. Usefulness of pediatric colonoscopes in adult colonoscopy. Gastrointest Endosc. 1989 Jul-Aug;35(4):329–332. doi: 10.1016/s0016-5107(89)72803-0. [DOI] [PubMed] [Google Scholar]
- Bladen J. S., Anderson A. P., Bell G. D., Rameh B., Evans B., Heatley D. J. Non-radiological technique for three-dimensional imaging of endoscopes. Lancet. 1993 Mar 20;341(8847):719–722. doi: 10.1016/0140-6736(93)90487-2. [DOI] [PubMed] [Google Scholar]
- Danesh B. J., Spiliadis C., Williams C. B., Zambartas C. M. Angiodysplasia--an uncommon cause of colonic bleeding: colonoscopic evaluation of 1,050 patients with rectal bleeding and anaemia. Int J Colorectal Dis. 1987 Nov;2(4):218–222. doi: 10.1007/BF01649509. [DOI] [PubMed] [Google Scholar]
- Durdey P., Weston P. M., Williams N. S. Colonoscopy or barium enema as initial investigation of colonic disease. Lancet. 1987 Sep 5;2(8558):549–551. doi: 10.1016/s0140-6736(87)92931-x. [DOI] [PubMed] [Google Scholar]
- Irvine E. J., O'Connor J., Frost R. A., Shorvon P., Somers S., Stevenson G. W., Hunt R. H. Prospective comparison of double contrast barium enema plus flexible sigmoidoscopy v colonoscopy in rectal bleeding: barium enema v colonoscopy in rectal bleeding. Gut. 1988 Sep;29(9):1188–1193. doi: 10.1136/gut.29.9.1188. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lindsay D. C., Freeman J. G., Cobden I., Record C. O. Should colonoscopy be the first investigation for colonic disease? Br Med J (Clin Res Ed) 1988 Jan 16;296(6616):167–169. doi: 10.1136/bmj.296.6616.167. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Parry B. R., Williams S. M. Competency and the colonoscopist: a learning curve. Aust N Z J Surg. 1991 Jun;61(6):419–422. doi: 10.1111/j.1445-2197.1991.tb00254.x. [DOI] [PubMed] [Google Scholar]
- Williams C., Guy C., Gillies D., Saunders B. Electronic three-dimensional imaging of intestinal endoscopy. Lancet. 1993 Mar 20;341(8847):724–725. doi: 10.1016/0140-6736(93)90489-4. [DOI] [PubMed] [Google Scholar]