Abdominal Binder good for colonoscopy in young and obese patients,finds study

Prolongation of cecal intubation time (CIT) directly affects the comfort of the patient and the colonoscopist. In this study, the effectiveness of using an abdominal binder (AB) during colonoscopy on procedure time and colonoscopy outcomes was investigated.

The authors of this double-blind, randomized, sham-controlled study evaluated the effectiveness of using an abdominal binder during colonoscopy.

For the current study researchers conducted a parallel randomized double-blind sham-device-controlled study of patients who underwent elective outpatient colonoscopy between 1 May 2020, and 31 August 2020. Participants were randomly assigned to AB (n = 173) and sham binder (SB) (n = 173) groups. The primary outcome was CIT. Secondary outcomes were the need for auxiliary maneuvers, the cecum intubation length (CIL) of the colonoscope, visual analog scale (VAS) score, narcotic analgesic dose, and colonoscopy results. Moreover, subgroup analysis was performed in terms of age and obesity indices.

Results highlighted some interesting facts.

• A total of 346 patients were enrolled in the study. The mean CIT was similar between groups (AB group 240 secs, control group 250 secs, p > .05).
• Manual pressure requirement was less in the AB group (27 vs. 36%, p = .069). VAS score and the need for extra narcotic analgesic drugs were prominently lower in the AB group (p < .001, p = .016, respectively).
• In the subgroup analyses, in participants at the age of <60 and waist-to-height ratio (WHtR) ≥0.5, manual pressure requirements were significantly shorter in the AB group (p = .017, p = .032, respectively).

"There was no difference in cecal intubation time or in the need for auxiliary maneuvers such as manual pressure or position change, but use of the abdominal binder was associated with less procedural pain and less need for extra doses of narcotic analgesics. In subgroup analysis, in patients younger than 60 years and in those with a waist-to-height ratio ≥0.5, manual pressure requirements were less in the abdominal binder group (P = .017 and P = .032, respectively).The use of an abdominal binder may be beneficial in select patients during colonoscopy as it may reduce postprocedural pain and the need for analgesics and may also reduce the need for auxiliary maneuvers in young patients with obesity."the team concluded.

For full article follow link: https://doi.org/10.1080/00365521.2021.1941238

Source: Scandinavian Journal of Gastroenterology