PWE-036 Use Of An Ultraslim Paediatric Colonoscope To Complete Difficult Colonoscopic Procedures. (9th June 2014)

• Record Type: Journal Article
• Authors: Tate, D; Dunckley, P
• Is Part Of: Gut. Volume 63(2014)Supplement 1
• Page Start: A138
• Page End: A138
• Publication Date: 2014-06-09
• Subjects: Gastroenterology -- Periodicals; 616.33
• DOI: 10.1136/gutjnl-2014-307263.296
• Languages: English
• ISSNs: 0017-5749

Abstract

Abstract : Introduction: Discomfort and failure to progress beyond the sigmoid are the commonest reasons for non-completion of colonoscopy .1 We anecdotally observed that the use of a new ultraslim paediatric colonoscope (Olympus PCF-PQ260L) when the standard colonoscope failed often led to completion of difficult cases. Methods: We analysed 19 reports from cases at the Gloucestershire Royal hospital where the PCF-PQ260L was used as a second endoscope on an examination started with a regular colonoscope (Olympus H260 or Q260 colonoscopes) over the period January to August 2013. Results: 95% (18/19) of the time the extent of a non-completed colonoscopy was the sigmoid colon. 50% of the time this was due to diverticular disease with patient discomfort the second most common cause. In 80% of these cases, the subsequent use of the PCF-PQ260L enabled the endoscopist to reach the caecum. In addition, in those procedures that failed due to discomfort, comfort scores were improved in 50% during the second procedure with the PCF-PQ260L. The CIR of the GI consultants working at GRH averaged 96% for 2013. Conclusion: The PCF-PQ260L enabled the negotiation of the sigmoid colon in 80% of cases where a standard endoscope failed in the hands of skilled colonoscopists. This limited study suggests that the PCF-PQ260L is an exciting new tool in the colonoscopist's inventory. Reference: 1 Dafnis G, Granath F, Påhlman L, Ekbom A, Blomqvist P. Patient factors influencing the completion rate in colonoscopy. Dig Liver Dis . 2005 ;37(2):113–8 Disclosure of Interest: None Declared.