{"created":"2023-07-25T08:15:20.602374+00:00","id":16640,"links":{},"metadata":{"_buckets":{"deposit":"75668384-2967-4525-aa60-de35953b6d84"},"_deposit":{"created_by":29,"id":"16640","owners":[29],"pid":{"revision_id":0,"type":"depid","value":"16640"},"status":"published"},"_oai":{"id":"oai:ir.kagoshima-u.ac.jp:00016640","sets":["228:230:6130","57:58:59"]},"author_link":["142727","142724","142725","142719","142726","142721","142717","142730","142722","142728","142718","142729","142723","142720"],"item_7_alternative_title_18":{"attribute_name":"別言語のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"上下部消化管内視鏡検査における下部消化管内視鏡の挿入性の検討"}]},"item_7_biblio_info_5":{"attribute_name":"収録雑誌名","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"7","bibliographicPageStart":"1","bibliographicVolumeNumber":"74","bibliographic_titles":[{"bibliographic_title":"鹿児島大学医学雑誌"},{"bibliographic_title":"Medical journal of Kagoshima University","bibliographic_titleLang":"en"}]}]},"item_7_date_6":{"attribute_name":"作成日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2022-02"}]},"item_7_description_4":{"attribute_name":"要約(Abstract)","attribute_value_mlt":[{"subitem_description":"OBJECTIVES: Same-day bidirectional endoscopy (BDE) has become a commonly used. Several studies have identified that the optimal sequence of a same-day BDE was esophagogastroduodenoscopy (EGD) followed by colonoscopy (CS). However, in recent years there are no reports from Japanese facilities regarding the difficulty of colonoscopy insertion along with a same-day BDE. In this study, we sought to clarify CS difficulties if EGD was performed first followed by CS on the same-day.\nMETHODS: This study was a single-center retrospective study, and included 61 patients who underwent EGD followed by CS (E-C group) and 120 patients who underwent CS only (CS only group). We defined a “difficult CS case” as one that required ≥650 s for colonoscope insertion.\nRESULTS: The numbers of difficult CS cases were not significantly different between the E-C and CS only groups (p = 0.131). Furthermore, no correlations existed between EGD examination times and colonoscope insertion times (Spearman = 0.096). In addition, for patients whose body mass index (BMI) was <18.5 and ≥25, the number of difficult CS cases was significantly lower in the E-C group than that in the CS only group (p = 0.038).\nCONCLUSIONS: No significant differences were seen between the number of difficult cases in the E-C and CS only groups. In patients with BMI of <18.5 or ≥25, fewer cases of CS difficutyl might be encountered if EGD is performed first.\n【背景】上部消化管内視鏡検査（EGD），下部消化管内視鏡検査（CS）を同日に施行する際に，既報ではEGDを先行してもCSの挿入時間に変化はなかったと報告されているが，日本の施設からの報告はない．今回EGD，CSを同日に施行する際，EGDを先行するとCSの内視鏡挿入が困難になるのか明らかにすることを目的とした．\n【方法】2020年5月から8月までに鹿児島県立大島病院でEGDを先行したEGD＋CS（以下E-C群とする）61例およびCSのみを施行した（以下CS単独群とする）120例を対象とした．挿入困難例の定義ついては，CS単独群での挿入時間中央値が326.5秒であったことから，挿入時間650秒以上の症例とした\n【結果】挿入困難症例数は，E-C群：4例（6.6％），CS単独群：17例（14.2％）で両群間に有意差はなかった（p = 0.131）．さらに，EGDの検査時間とCSの内視鏡挿入時間の相関係数は　＝0.09であり，相関はなかった．また，BMI 18.5未満と25以上の症例において，挿入困難症例数はE-C群がCS単独群と比較して有意に少なかった（p = 0.038）．\n【結論】EGDとCSを同日に連続して施行する際は，EGDを先行してもCSの内視鏡挿入が必ずしも困難になるとはいえず，既報と同様の結果であった．BMI 18.5未満や25以上の症例においては，EGDを先行するとCSの挿入が容易になる可能性がある．","subitem_description_type":"Other"}]},"item_7_full_name_3":{"attribute_name":"別言語の著者","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"松岡, 慧"}]},{"nameIdentifiers":[{}],"names":[{"name":"前田, 英仁"}]},{"nameIdentifiers":[{}],"names":[{"name":"佐々木, 文郷"}]},{"nameIdentifiers":[{}],"names":[{"name":"恒吉, 研吾"}]},{"nameIdentifiers":[{}],"names":[{"name":"樺山, 雅之"}]},{"nameIdentifiers":[{}],"names":[{"name":"上村, 修司"}]},{"nameIdentifiers":[{}],"names":[{"name":"井戸, 章雄"}]}]},"item_7_publisher_23":{"attribute_name":"公開者・出版者","attribute_value_mlt":[{"subitem_publisher":"鹿児島大学"}]},"item_7_subject_15":{"attribute_name":"NDC","attribute_value_mlt":[{"subitem_subject":"490","subitem_subject_scheme":"NDC"}]},"item_7_text_24":{"attribute_name":"公開者よみ","attribute_value_mlt":[{"subitem_text_value":"カゴシマ ダイガク"}]},"item_7_text_25":{"attribute_name":"公開者別名","attribute_value_mlt":[{"subitem_text_value":"Kagoshima University"}]},"item_7_version_type_14":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"MATSUOKA, Satoru"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MAEDA, Hidehito"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SASAKI, Fumisato"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"TSUNEYOSHI, Kengo"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KABAYAMA, Masayuki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KANMURA, Shuji"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"IDO, Akio"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-04-12"}],"displaytype":"detail","filename":"AN00040104_74_p1-7.pdf","filesize":[{"value":"360.8 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"AN00040104_74_p1-7","url":"https://ir.kagoshima-u.ac.jp/record/16640/files/AN00040104_74_p1-7.pdf"},"version_id":"502009fc-982c-4bda-bdc1-949ed082b9af"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"bidirectional endoscopy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"colonoscopy insertion","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"difficult colonoscopy case","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"The Effects of Prior Esophagogastroduodenoscopy on Cecal Insertion in Same-Visit Bidirectional Endoscopy: A Pilot Study","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"The Effects of Prior Esophagogastroduodenoscopy on Cecal Insertion in Same-Visit Bidirectional Endoscopy: A Pilot Study"}]},"item_type_id":"7","owner":"29","path":["59","6130"],"pubdate":{"attribute_name":"公開日","attribute_value":"2023-04-12"},"publish_date":"2023-04-12","publish_status":"0","recid":"16640","relation_version_is_last":true,"title":["The Effects of Prior Esophagogastroduodenoscopy on Cecal Insertion in Same-Visit Bidirectional Endoscopy: A Pilot Study"],"weko_creator_id":"29","weko_shared_id":-1},"updated":"2023-09-01T11:23:02.313335+00:00"}