| 特集名 | 超高齢化社会に向けた大腸内視鏡検査 | |
|---|---|---|
| 題名 | 逐年の大腸内視鏡検査からみた超高齢者大腸の特徴 | |
| 発刊年月 | 2015年 01月 | |
| 著者 | 徳竹 康二郎 | 長野赤十字病院消化器内科 |
| 著者 | 山野 泰穂 | 秋田赤十字病院消化器病センター |
| 【 要旨 】 | 秋田赤十字病院消化器病センターでの大腸内視鏡検査を対象として後ろ向きの検討を行い，挿入時間に影響する因子を分析した．年齢と性差の検討では14,180件を対象とし，各年代で女性は男性よりも挿入時間が長かった．また男性では高齢者ほど挿入時間が長かった．手術歴の検討では男性において挿入時間の延長が認められた．BMIの検討では1,801件を対象とし，男女ともBMIの低い群で挿入時間が長かった． | |
| Theme | Colonoscopy for the super-elderly | |
|---|---|---|
| Title | The characteristics of colonoscopy in elderly patients : findings from past few years | |
| Author | Kojiro Tokutake | Department of Gastroenterology, Nagano Red Cross Hospital |
| Author | Hiro-o Yamano | Department of Gastroenterology, Akita Red Cross Hospital |
| [ Summary ] | Background : It is difficult to determine the factors that predict prolonged procedural times during colonoscopy. The aim of this study was to reveal the effects of aging, gender, body mass index (BMI) and history of abdominal surgery on cecal insertion time during colonoscopy. Methods : This study was retrospectively performed. Patients who received colonoscopies from 2006 to 2010 were enrolled. The data was collected concerning age, sex, height, weight, BMI and prior history of abdominal surgery. Results : 14,180 patients (8,732 men and 5,448 women ; mean 63.6 years) were included in the analysis of increased age, gender and history of abdominal surgery. In every generation female gender was associated with prolonged insertion time. Older age was associated with longer insertion times in males, but not associated with females. A history of abdominal surgery was associated with difficult colonoscopies in males. 1,801 patients (1,432 men and 369 women ; mean 56.8 years) were included in the analysis of BMI. A lower BMI was associated with prolonged insertion times. Conclusion : In males, aging and surgical history were associated with prolonged insertion times. A lower BMI and female gender were also risk factors for prolonged insertion times. |
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