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Does one-man method better than two-man method for colonoscopy insertion in children

Ho-Sheng Chen1, Jia-Feng Wu2, Huey-Ling Chen2

  • 1Department of Pediatrics, National Taiwan University Hospital Hsin-Chu Branch, Hsin-Chu, Taiwan.

Journal of the Formosan Medical Association = Taiwan Yi Zhi
|January 15, 2019
PubMed

Insights

The one-man colonoscopy method is safe and effective for children, demonstrating higher success rates for cecal and terminal ileum intubation compared to the two-man approach. This finding supports its use in pediatric gastroenterology practice.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures
  • Medical Device Technology

Background:

  • The one-man colonoscopy technique has shown advantages in adults.
  • Its efficacy in pediatric patients remains largely unestablished.
  • This study addresses the gap in knowledge regarding pediatric colonoscopy methods.

Purpose of the Study:

  • To evaluate the effectiveness of the one-man colonoscopy method in children.
  • To compare the one-man method against the traditional two-man method in pediatric colonoscopy.
  • To test the hypothesis that the one-man method is preferred for pediatric colonoscopy.

Main Methods:

  • Retrospective analysis of pediatric colonoscopies performed between July 2010 and June 2014.
  • Colonoscopies were conducted by second-year pediatric GI fellows under supervision.
  • Key indicators recorded: cecal intubation rate (CIR), cecal intubation time (CIT), and terminal ileum (TI) intubation rate.

Main Results:

  • The one-man method achieved a higher cecal intubation rate (81.9% vs. 69.1%) and terminal ileum intubation rate (66.7% vs. 44.4%).
  • No significant difference in cecal intubation time or complication rates was observed between the two methods.
  • Poor preparation and underweight were associated with lower CIR.

Conclusions:

  • The one-man colonoscopy method is safe for pediatric use.
  • It offers superior cecal and terminal ileum intubation rates compared to the two-man method in children.
  • The one-man approach is a viable and effective option for pediatric colonoscopy, even for fellows in training.
Abstract

Keywords:
ColonoscopyOne-man methodPediatrics

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