Impact of cap-assisted colonoscopy during transendoscopic enteral tubing: A randomized controlled trial

作者：Quan Wen, Kangjian Liu, Bota Cui, Pan Li, Xia Wu, Min Zhong, Wei Lu, Hua Tu, Yuan Yu, Da Lin, Wen‐Hung Hsu, Deng‐Chyang Wu, Hong Yin, Faming Zhang · 发表于：World Journal of Gastroenterology · 年份：2020 · DOI：10.3748/wjg.v26.i39.6098 · 被引用次数：11 · 研究领域：Colorectal Cancer Screening and Detection、Minimally Invasive Surgical Techniques、Enhanced Recovery After Surgery

BACKGROUND: Colonic transendoscopic enteral tubing (TET) requires double cecal intubation, raising a common concern of how to save cecal intubation time and make the tube stable. We hypothesized that cap-assisted colonoscopy (CC) might reduce the second cecal intubation time and bring potential benefits during the TET procedure. AIM: To investigate if CC can decrease the second cecal intubation time compared with regular colonoscopy (RC). METHODS: This prospective multicenter, randomized controlled trial was performed at four centers. Subjects ≥ 7 years needing colonic TET were recruited from August 2018 to January 2020. All subjects were randomly assigned to two groups. The primary outcome was the second cecal intubation time. Secondary outcomes included success rate, insertion pain score, single clip fixation time, purpose and retention time of TET tube, length of TET tube inserted into the colon, and all procedure-related (serious) adverse events. RESULTS: = 0.014) was the only independent factor influencing the length of TET tube inserted into the colon in adults. CONCLUSION: CC for colonic TET procedure is a safe and less painful technique, which can reduce cecal intubation time.