Effect of Abdominal Corset on Completion of Colonoscopy and Cecal and Ileocecal Intubation Time in Patients with Central Obesity: A Prospective Randomized Controlled Trial

Abstract

AIM: This work investigated the effect of an abdominal corset on the colonoscopy completion rate, as well as cecum and ileum intubation time, total colonoscopy time, and pain score in centrally obese patients. METHODS: Patients were randomized into two groups, with 50 patients in each group. A colonoscopy was performed using the abdominal corset in Group 1 and the standard method in Group 2. The comparison between the groups evaluated demographic data, procedure details, circulatory dynamics, anesthesia data, and visual analogue scale (VAS).  RESULTS: Of the patients included in the study, 60 were female, and 40 were male, with a mean age of 57.3 ± 13.6 years. Cecal intubation time (Z: –2.66 p: 0.008), total colonoscopy time (Z: –2.180 p: 0.029), number of maneuvers (χ2: 8.391 p: 0.039), and VAS (Z: –3.087 p: 0.002) were significantly lower in the abdominal corset group.  CONCLUSIONS: An abdominal corset that applies external abdominal compression reduces the cecal intubation time, the total colonoscopy time, the number of maneuvers, and the pain level.   CLINICAL TRIAL REGISTRATION: NCT03128645 (https://clinicaltrials.gov/study/NCT03128645?tab=results).