Prone Position Reduces Time for Ileal Intubation During Colonoscopy
Author Information
Author(s): De Silva Arjuna P, Kumarasena Ravindu S, Perera Keragala Suramya D, Kalubowila Udaya, Niriella Madunil, Dassanayake Anuradha S, Pathmeswaran Arunasalam, de Silva H Janaka
Primary Institution: University of Kelaniya, Sri Lanka
Hypothesis
The prone position makes ileal intubation easier and quicker than the standard left lateral position.
Conclusion
The prone 12 o'clock position significantly reduces ileal intubation time during colonoscopy.
Supporting Evidence
- The ileum was successfully intubated in 145 out of 150 patients.
- Median ileal intubation time was 12 seconds in the prone position compared to 87 seconds in the left lateral position.
- The ileum was abnormal in 11 patients, with similar rates in both positions.
Takeaway
Lying on your stomach helps doctors look at the end of your intestines faster during a procedure.
Methodology
Patients were randomized to undergo ileoscopy in either the prone 12 o'clock position or the left lateral position, and ileal intubation times were measured.
Potential Biases
The analysis did not consider variations in endoscopist experience or nursing care.
Limitations
The study did not assess other positions for ileal intubation and did not account for potential confounding factors.
Participant Demographics
150 patients, mean age 53 years, 82 females.
Statistical Information
P-Value
0.0001
Statistical Significance
p<0.0001
Digital Object Identifier (DOI)
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