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Related Experiment Video

Updated: Jul 13, 2026

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

Published on: July 11, 2025

Factors affecting abdominal pain during colonoscopy.

Dong I Park¹, Hong J Kim, Jung H Park

¹Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

European Journal of Gastroenterology & Hepatology

|July 13, 2007

Summary

Younger female patients, especially those with a history of pelvic surgery, are more likely to experience discomfort during colonoscopy. Lower BMI and difficult procedures also increase patient discomfort.

Related Experiment Videos

Last Updated: Jul 13, 2026

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

Published on: July 11, 2025

Area of Science:

Gastroenterology
Patient Experience Research

Background:

Patient discomfort during colonoscopy varies significantly.
Identifying predictors of discomfort is crucial for improving patient care.

Purpose of the Study:

To identify patient-specific variables associated with discomfort during colonoscopy, independent of endoscopist skill.
To understand factors contributing to a negative colonoscopy experience.

Main Methods:

Prospective analysis of 646 colonoscopies performed by experienced endoscopists.
Patient discomfort assessed using a visual analogue pain scale and during-procedure complaints.
Patients categorized into comfortable and uncomfortable groups based on complaints.

Main Results:

Female gender, younger age (<=40), inflammatory bowel syndrome symptoms, prior abdominopelvic surgery, poor bowel preparation, longer insertion time, and lower BMI were associated with discomfort.
Multivariate analysis identified younger age, female gender, lower BMI, examination difficulty, and prior female gynaeco-pelvic surgery as independent predictors of discomfort.

Conclusions:

Younger, female patients with a history of gynaeco-pelvic surgery are at higher risk for an uncomfortable colonoscopy.
Factors like lower BMI and procedural difficulty also predict patient discomfort.