Colonoscopy using back brace support belt: A randomized, prospective trial. Issue 3 (7th November 2019)

• Record Type: Journal Article
• Authors: Toyoshima, Osamu; Nishizawa, Toshihiro; Sakitani, Kosuke; Yamakawa, Tadahiro; Yoshida, Shuntaro; Fukagawa, Kazushi; Hata, Keisuke; Ishihara, Soichiro; Suzuki, Hidekazu
• Is Part Of: JGH open. Volume 4:Issue 3(2020)
• Page Start: 441
• Page End: 445
• Publication Date: 2019-11-07
• Subjects: back brace support belt -- colonoscopy -- randomized, prospective trial
• DOI: 10.1002/jgh3.12276
• Languages: English
• ISSNs: 2397-9070

Abstract

Abstract : Background and Aim: Looping is a major problem in colonoscopy, and it prolongs procedure time. We evaluated the efficacy and safety of an external abdominal compression device (back brace support belt; Maxbelt) with respect to cecal insertion time and other outcomes. Methods: We performed a prospective study on outpatients undergoing elective colonoscopy in Toyoshima Endoscopy Clinic. Subjects were randomly assigned to groups and were subjected to either Maxbelt ( n = 39) or no device (control, n = 38) during colonoscopy. The colonoscopist was blinded to the study. The primary outcome that was observed was insertion time. Results: The intubation time of the Maxbelt group was shorter than that of the no device group, but the difference was not significant (3.29 vs 4.49 min, P = 0.069). After stratifying by age, the use of Maxbelt significantly decreased cecal intubation time in elderly participants (age ≥ 45) compared to no device group (3.27 vs 5.00 min, P = 0.032). The use of the Maxbelt significantly decreased insertion difficulty encountered by the colonoscopist ( P = 0.01). There was no difference in adenoma detection rate, manual pressure, position change, and adverse event. Conclusions: The use of a back brace support belt could be a viable approach for colonoscopy in elderly patients. (University Hospital Medical Information Network: UMIN000029361). Abstract : A back brace support belt could keep the colonoscope straight in the sigmoid colon and avoid looping throughout the examination and facilitates more comfortable insertion. This randomized prospective trial showed a significantly shorter cecal intubation time for elderly participants.