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Furthermore, a majority of patients required use of an endoscope that was not used in the prior incomplete procedure.
There is limited data on the outcomes of attempts at repeating colonoscopy with standard endoscopes after an incomplete procedure.
If the cause of the incomplete procedure was colon redundancy (elongation causing excessive looping), an adult colonoscope was used.
However, in general if the cause of the incomplete procedure was tortuousity (acute angulation of the colon), a pediatric colonoscope or upper endoscope was used.
6 Thus for a successfully completed colonoscopy, a trainee's LC-Cusum plot will rise by 0.1 units and drop by 0.9 units (=1 0.1) for an incomplete procedure.
The cause of the incomplete procedure as either due to colon tortuousity or redundancy was determined by review of the procedure report.
Similar(49)
All incomplete procedures were performed using conscious sedation.
The adenoma detection rate was 9% for all incomplete procedures.
Incomplete procedures were attributed to tortuosity (N = 52, 61.2%) and redundancy (N = 48, 56.5%).
Multiple endoscopes were used in a minority (13%) of incomplete procedures.
If the incomplete procedures are assumed to have been abnormal, then 46%% of all procedures for abdominal pain were normal.
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