ReviewCanadian journal of gastroenterology = Journal canadien de gastroenterologie2013
Mechanical analysis of insertion problems and pain during colonoscopy: why highly skill-dependent colonoscopy routines are necessary in the first place... and how they may be avoided.
Review in Canadian journal of gastroenterology = Journal canadien de gastroenterologie, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 33 citations in OpenAlex.
- Flexible IMU Sensor Array For 3D Colonoscope Shape Reconstruction and AI-Based Loop Detection.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026Article
- Successful Intubation Using a Cap-Assisted Colonoscope for Endoscopic Retrograde Cholangiopancreatography in Patients Undergoing Roux-en-Y Reconstruction.Journal of clinical medicine · 2023Article
- Colonic displacement as a marker of endoscopic skill: development of a novel tool for endoscopy training.Surgical endoscopy · 2022Article
- Endorobots for Colonoscopy: Design Challenges and Available Technologies.Frontiers in robotics and AI · 2021Review
- Colorectal cancer prevention by a CLEAR principles-based colonoscopy protocol: an observational study.Gastrointestinal endoscopy · 2020Observational
- Endoscope-connected water pump with high flow rates improves the unsedated colonoscopy performance by water immersion method.Clinical and experimental gastroenterology · 2018Article
- Serpentine locomotion through elastic energy release.Journal of the Royal Society, Interface · 2017Article
- A hydraulically driven colonoscope.Surgical endoscopy · 2016Article
- [Risk factors of pain during colonoscopic examination].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2016Article
- Unsedation colonoscopy can be not that painful: Evaluation of the effect of "Lamaze method of colonoscopy".World journal of gastrointestinal endoscopy · 2015Article
- Modeling Haptic Interactions in Endoscopic Submucosal Dissection (ESD).IEEE transactions on hapticsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundColonoscopy requires highly skill-dependent manoeuvres that demand a significant amount of training, and can cause considerable discomfort to patients, which increases the use of sedatives. Understanding the underlying fundamental mechanics behind insertion difficulties and pain during colonoscopy may help to simplify colonoscopy and reduce the required extent of training and reliance on sedatives.
methodsA literature search, anatomical studies, models of the colon and colonoscope, and bench tests were used to qualitatively analyze the fundamental mechanical causes of insertion difficulties and pain. A categorized review resulted in an overview of potential alternatives to current colonoscopes.
resultsTo advance a colonoscope through the colon, the colon wall, ligaments and peritoneum must be stretched, thus creating tension in the colon wall, which resists further wall deformation. This resistance forces the colonoscope to bend and follow the curves of the colon. The deformations that cause insertion difficulties and pain (necessitating the use of complex conventional manoeuvres) are the stretching of ligaments, and stretching of colon wall in the transverse and longitudinal directions, and the peritoneum.
conclusionsFour fundamental mechanical solutions to prevent these deformations were extracted from the analysis. The current results may help in the development of new colonoscopy devices that reduce - or eliminate - the necessity of using highly skill-dependent manoeuvres, facilitate training and reduce the use of sedatives.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.