THE USE OF ABDOMINAL CORSETS ON COLONOSCOPY: A PROSPECTIVE RANDOMISED CONTROLLED TRIAL

ADALI, Mert

doi:10.1590/0102-6720202500004e1873

Brazil

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Original Article • ABCD: arq. bras. cir. dig. 38 • 2025 • https://doi.org/10.1590/0102-6720202500004e1873 linkcopy

THE USE OF ABDOMINAL CORSETS ON COLONOSCOPY: A PROSPECTIVE RANDOMISED CONTROLLED TRIAL

O USO DE COLETES ABDOMINAIS NA COLONOSCOPIA: UM ENSAIO CLÍNICO PROSPECTIVO RANDOMIZADO E CONTROLADO

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

BACKGROUND: Colonoscopy is a widely used endoscopic procedure to investigate diseases of the colon and rectum. Colonoscopy procedure has difficulties for the patient and endoscopist.

AIMS: To investigate whether the use of an abdominal corset can make the colonoscopy procedure easier and faster.

METHODS: This is a prospective randomised controlled study. Patients over 18 years of age who underwent elective colonoscopy in our clinic were evaluated. Patients were divided into two groups according to the use of the corset. Variables were compared between the groups.

RESULTS: A total of 204 patients were included in the study. Corsets were used in 97 patients and not used in 107 patients. The need for manual compression was found to be decreased in the corset use group. There was no effect of corset use on cecal intubation time in the general population. It was found that cecal intubation time decreased with corset use in patients with body mass index - BMI<30 and male gender.

CONCLUSIONS: The need for manual compression can be reduced by the use of an abdominal corset during colonoscopy. The use of an abdominal corset may make the colonoscopy procedure faster and easier for the endoscopist and the patient.

HEADINGS:
Colonoscopy; Endoscopy; Bandages

Gender
Male	87 (42.6)
Female	117 (57.4)
Comorbidities
HT	60 (29.4)
DM	45 (22.1)
CHD	25 (12.3)
COPD	12 (5.9)
Other	40 (19.6)
Indication
Anaemia	32 (15.7)
FOBT (+)	32 (15.7)
Constipation	43 (21.1)
Scanning	53 (26)
Haematochezia	22 (10.8)
History of polyps	10 (4.9)
CT suspicion	6 (2.9)
Chronic diarrhoea	6 (2.9)
History of Abdominal Surgery
Yes	84 (41.2)
No	120 (58.8)
Type of surgery
TAH-BSO	22 (10.8)
C/S	22 (10.8)
Appendectomy	22 (10.8)
Cholecystectomy	21 (10.3)
Gastrectomy	6 (2.9)
Other	10 (4.9)
Manual compression
Yes	41 (20.1)
No	163 (79.9)
Change of position
Yes	1 (0.5)
No	203 (99.5)
Corset
Yes	97 (47.5)
No	107 (52.5)
Diagnosis
Normal	148 (72.5)
Polyp	34 (16.7)
Diverticulum	13 (6.4)
Colitis	5 (2.5)
Mass	2 (1)
Parasite	2 (1)
Age, median IQR (25-75)	57 (47-65)
Weight, mean±SD	76.9±13.4
Height, median IQR (25-75)	165 (160-172)
BMI mean±SD	27.9±4.5
BBPS, median IQR (25-75)	8 (7-9)
Cecal intubation time, median IQR (25-75)	4.5 (3-6.5)

Variables	Corset (+) (n=97)	Corset (-) (n=107)	p-value
Weight	78.2 ± 13.7	75.7 ± 13	0.186*
BMI	28.1 ± 4.7	27.7 ± 4.4	0.532*
Age	57 (43-65)	57 (50-66)	0.407^†
Height	165 (160-173)	165 (160-170)	0.248^†
BBPS	8 (7-9)	8 (7-9)	0.272^†
Cecal intubation time	4 (3-6)	4.5 (3.5-7)	0.137^†
Gender
Male	45 (46.4)	42 (39.3)	0.375^‡
Female	52 (53.6)	65 (60.7)	0.375^‡
History of Abdominal Surgery
Yes	42 (43.3)	42 (43.3)	0.657^‡
No	55 (56.7)	65 (60.7)	0.657^‡
Manual compression
Yes	12 (12.4)	29 (27.1)	0.014^‡
No	85 (87.6)	78 (72.9)	0.014^‡
Change of position
Yes	0	1 (0.9)	0.525^§
No	97 (100)	106 ( 99.1)	0.525^§

Variables	Male (n=87)			Female (n=117)
Variables	Corset (+) (n=45)	Corset (+) (n=42)	p-value	Corset (+) (n=52)	Corset (+) (n=65)	p-value
Age	53±14	58±12.9	0.102*	54±12.9	54±11,2	0,756*
Weight	81±13.3	80±10.4	0.683^†	75±13.5	72±13,7	0,290^†
Height	174±6.1	173±5.7	0.662*	158±14.2	159±5	0,771*
BMI	26.7±3.7	26.6±3.6	0.881^†	29.3±5.1	28,4±4,8	0,339^†
BBPS	8±0.9	7±1	0.353*	8±0.9	7,9±1	0,487*
Cecal intubation time	4±1.7	4.8±2	0.036*	5.5±2.8	5,4±2,6	0,891*
Cecal intubation time	4.4±1.9			5.4±2.7		0.003*

Variables	BMI<30 (n=150)			BMI=30 (n=54)
Variables	Corset (+) (n=45)	Corset (-) (n=42)	p-value	Corset (+) (n=52)	Corset (-) (n=65)	p-value
Cecal intubation time	4.5±2.1	5.1±2.3	0.025*	5.6±3.2	5.2±2.6	0.794*
Cecal intubation time	4.8±2.2			5.4±2.9		0.367*
Manual compression
Var	8 (11.1)	23 (29.5)	0.010^†	4 (16)	6 (20.7)	0.927^†
Yok	64 (88.9)	55 ( 70.5)	0.010^†	21 (84)	23 (79.3)	0.927^†

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Colégio Brasileiro de Cirurgia Digestiva Av. Brigadeiro Luiz Antonio, 278 - 6° - Salas 10 e 11, 01318-901 São Paulo/SP Brasil, Tel.: (11) 3288-8174/3289-0741 - São Paulo - SP - Brazil
E-mail: revistaabcd@gmail.com

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[TFN1] HT: hypertension; DM: diabetes mellitus; CHD: chronic heart disease; COPD: chronic obstructive pulmonary disease; FOBT: fecal occult blood test; CT: computer tomography; TAH-BSO: total abdominal hysterectomy with bilateral salpingo-oophorectomy; C/S: cesarean section; IQR: interquartile range; SD: standard deviation; BMI: body mass index; BBPS: Boston bowel preparation scale.