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Successful pancolonoscopy and ileoscopy in children
D M Israel1, B I McLain, E Hassall
1Division of Gastroenterology, British Columbia Children's Hospital, Vancouver, Canada.
Journal of Pediatric Gastroenterology and Nutrition
|October 1, 1994
Summary
Pediatric gastroenterology fellows achieved high success rates in pancolonoscopy, with completion rates reaching 97% for the cecum and 95% for the terminal ileum when excluding difficult cases. Procedure duration varied by operator experience.
Area of Science:
- Pediatric Gastroenterology
- Endoscopy
- Medical Training
Background:
- Pancolonoscopy is crucial for diagnosing pediatric gastrointestinal conditions.
- Assessing the quality and efficiency of procedures performed by trainees is essential for medical education.
Purpose of the Study:
- To prospectively evaluate the quality, extent, and duration of pediatric pancolonoscopy.
- To compare procedural outcomes between pediatric gastroenterology attending physicians and fellows in training.
Main Methods:
- Prospective data collection over 7 months on 40 pediatric pancolonoscopy procedures.
- Analysis of cecal and terminal ileum intubation rates, procedure duration, and operator involvement.
- Exclusion of cases with strictures and equipment failure to determine optimal completion rates.
Main Results:
- Cecal intubation was achieved in 92.5% and terminal ileum in 87.5% of cases.
- Excluding challenging cases, completion rates improved to 97% (cecum) and 95% (terminal ileum).
- Average procedure duration was 38 minutes, with attending physicians averaging 31 minutes and fellows 37 minutes (when completing independently).
Conclusions:
- Pediatric gastroenterology fellows demonstrate proficiency in pancolonoscopy, with high success rates comparable to attending physicians.
- Fellows' independence in performing procedures increased over the study period.
- The study provides valuable data on the learning curve and efficiency of fellows in pediatric pancolonoscopy.