Can Body Mass Index Predict the Difficulty of Colonoscopy?
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Can Body Mass Index Predict the Difficulty of Colonoscopy?
Can Body Mass Index Predict the Difficulty of Colonoscopy? Eui Joo Kim and Yoon Jae Kim Division of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
See "Obesity and Cecal Intubation Time" by Deepanshu Jain, Abhinav Goyal and Jorge Uribe, on page 187-190.
Colonoscopy has been widely used as a screening modality for colorectal cancer and in the treatment of colon disorders. Generally, colonoscopy is safe, well tolerated, and recognized as a standard diagnostic and treatment method for colon disorders. Cecal intubation (CI) is one of the proposed quality indicators for colonoscopy.1 In screening patients, the reported CI rate was ≥97%.2,3 In other studies, CI was reported to be influenced by advanced age, female sex, history of abdominal surgery, diverticulosis, colonoscopic experience of the endoscopist, and poor bowel preparation.4-7 In this issue of Clinical Endoscopy, Jain et al.8 reported that body mass index (BMI) had a positive association with CI time in women, but a negative association in men. The mean CI time (MCT) was 15.9±7.9 minutes for the men and 15.5±7.9 minutes for the women. The MCTs across the BMI categories were as follows: category I (
