Evidence map›Paper›PMID 40229596›Full record

Trial reportSurgical endoscopy2025

Use of an abdominal binder in colonoscopies performed by trainees in gastrointestinal endoscopy: a randomized, double-blind, sham-controlled trial.

Antonio Marmolejo, Sinue Cázarez, Carlos J Mata, Sergio Ayala, Jorge Farell, Nubia A Ramírez, Carlos A Navarro Castañeda, Luis García

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Antonio MarmolejoDepartment of Gastrointestinal Endoscopy, Hospital Central Norte, PEMEX, 3rd Floor, Campo Matillas 52, San Antonio, Azcapotzalco, 02720, Mexico City, Mexico.
Sinue CázarezDepartment of Coloproctology, Hospital Central Norte, PEMEX, 3rd Floor, Campo Matillas 52, San Antonio, Azcapotzalco, 02720, Mexico City, Mexico.
Carlos J MataDepartment of Gastrointestinal Endoscopy, Director of Endoscopy and Surgical Residency Program, Hospital Central Norte, PEMEX, 3rd Floor, Campo Matillas 52, San Antonio, Azcapotzalco, 02720, Mexico City, Mexico.
Sergio AyalaDepartment of Clinical Pathology, Hospital Universitario "Dr. José E. González", Av. Francisco I. Madero Pte. Mitras Centro, 1st Floor, 64460, Monterrey, Nuevo Leon, Mexico.
Jorge FarellGastrointestinal Endoscopy, Bariatric and General Surgery, Hospital Español, Ejército Nacional Mexicano 613, Granada, Miguel Hidalgo, 11520, Mexico City, Mexico.
Nubia A RamírezDepartment of Surgery, Chief and Director of Surgical Residency Program, Hospital Central Sur de Alta Especialidad, PEMEX, 7th Floor, Periférico Sur 4091 Fuentes del Pedregal, Tlalpan, 14140, Mexico City, Mexico.
Carlos A Navarro CastañedaDepartment of Gastrointestinal Endoscopy, Hospital General "Dr. Manuel Gea González", 3rd Floor, Calzada de Tlalpan 4800, Sección XVI, 14080, Mexico City, Mexico. carlos.a.navarro.castaneda@gmail.com.ORCID http://orcid.org/0000-0003-2068-4430
Luis GarcíaGastrointestinal Endoscopy and General Surgery, Hospital Angeles Acoxpa, Acoxpa 430, Coapa, Ex-Hacienda Coapa, Tlalpan, 14308, Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColonoscopy is a widely used diagnostic and therapeutic tool for colonic diseases and serves as the preferred screening method for colorectal cancer (CRC). A common difficulty during colonoscopy is the looping of the colon, which can result in patient discomfort, prolonged cecal intubation time (CIT), and the need for auxiliary maneuvers. This study aimed to evaluate the efficacy and safety of using an abdominal binder during colonoscopy performed by trainees.

methodsThis randomized, double-blind, sham-controlled trial was conducted at a tertiary center. Participants were outpatients aged 20-80 years undergoing elective colonoscopy. They were randomly assigned to either the abdominal binder (AB) group or the sham binder (SB) group. The primary outcome measured was cecal intubation time. Secondary outcomes included the need for manual abdominal compression and postural adjustments during the procedure.

resultsA total of 211 participants were enrolled in the study. The median CIT was significantly shorter in the AB group compared to the SB group (728 s vs. 774 s, p = 0.008). Additionally, the AB group demonstrated a significantly reduced need for manual abdominal compression (p ≤ 0.001) and postural adjustments (p = 0.01). The requirement for abdominal compression decreased by 40% (95% CI 27.7-52.9%), while the need for postural changes was reduced by 9.4% (95% CI 1.9-88.7%).

conclusionThe use of an abdominal binder during colonoscopy performed by trainees significantly reduced cecal intubation time and minimized the need for ancillary maneuvers, such as manual abdominal compression and postural adjustments.

Indexed as

ColonoscopyAdultAgedAged, 80 and overDouble-Blind MethodFemaleHumansMaleMiddle AgedYoung AdultAbdominal binderCecal intubation timeColonoscopyTrainees

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.