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Sa1755 Privacy Pants in Colonoscopy: A Novel Approach to Enhance Colon Cancer Screening
Abstracts
safe and effective outpatient procedure for treating rectal bleeding due to internal hemorrhoids.
Privacy pants with a back zipper
Sa1755 Privacy Pants in Colonoscopy: A Novel Approach to Enhance Colon Cancer Screening Ali Aamar*1, Kamraan Madhani1, Zeeshan Butt2, Iqra Ali3, Harry R. Aslanian4 1 Yale-Waterbury Hospital, Waterbury, CT; 2Internal Medicine, Prince George’s Hospital, Cheverly, MD; 3Department of Public health, Waterbury, CT; 4Gastroenterology, Yale New Haven Hospital, Waterbury, CT Background: The current standard of practice in the United States (US) is for the patients to wear a one-piece, reusable cloth gown. The gown exposes the entire back and pelvic anatomy during colonoscopy. Patients report embarrassment as a significant and common reason for not having a colonoscopy. The endoscopy staff can also become embarrassed and uncomfortable, most commonly for the combination of male patients and female staff. Specifically designed patient’s gowns, such as privacy pants with a back zipper, provide maximal and personalized coverage to maintain the patient’s and medical staff’s dignity. Objectives: The objectives of this study are to assess whether the use of privacy pants can improve physical privacy protection among patients during the colonoscopy procedure. This study also assesses whether privacy pants can minimize embarrassment of bodily exposure during colonoscopy. Methods: This is a cross-sectional survey study. Patients admitted for colonoscopy were offered privacy pants. Patients completed questionnaires before and after their colonoscopy procedure. Patients were asked to rank their level of satisfaction, respect, and privacy protection on a scale of 0 through 10, with 0 being the lowest and 10 being the highest. Patients were asked to rank their feeling of embarrassment during the procedure, with 0 being no embarrassment and 10 being highly embarrassed. Patients were asked to compare their prior colonoscopy experience with a traditional gown to their privacy pants experience on a scale of 0 through 10. Results: A total of 16 patients who underwent colonoscopy wearing privacy pants were interviewed through structured questionnaires. 11 (68.8%) were female and 5 (31.3%) were male. Almost all patients said that they felt respected during the procedure, with an average score of 9.5. Fourteen out of sixteen patients said that they did not feel embarrassed at all during the procedure. 56% patients said that they will “definitely” (score of 10/10) choose privacy pants for their next colonoscopy, with an average score of 8.3 for all patients. 68% of patients “definitely” (score of 10/10) wanted to have the colonoscopy again if recommended, with a mean score of 8.9 for all patients. Majority of patient felt that compared to the traditional gown, privacy pants increased privacy protection, with an average score of 7.6. Conclusion: Most patients reported that privacy pants increase physical privacy protection during colonoscopy. In addition, patients felt more respected, more satisfied, and less embarrassed while wearing privacy pants during colonoscopy. Patients preferred privacy pants over traditional hospital gowns during colonoscopy procedures. Privacy pants can enhance colon cancer screening by increasing physical privacy protection and minimizing embarrassment.
AB268 GASTROINTESTINAL ENDOSCOPY Volume 85, No. 5S : 2017
Sa1756 The Shortening of Sigmoid Colon Transit Time Can Be an Effective Strategy for a Tolerable Colon Capsule Endoscopic Examination; A Retrospective Study Rieko Mukai*, Osamu Handa, Yuriko Onozawa, Osamu Dohi, Tetsuya Okayama, Naohisa Yoshida, Kazuhiro Kamada, Kazuhiro Katada, Kazuhiko Uchiyama, Takeshi Ishikawa, Tomohisa Takagi, Hideyuki Konishi, Yuji Naito, Yoshito Itoh Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Kyoto, Japan Background: In Japan, a colon capsule endoscope (CCE) has been able to be used in the clinical field since Jan. 2014. However, there are some reasons that disturb the clinical use of CCE examination; CCE is expensive, needs bothersome preparation, or takes a long time for excretion from anus. Aim: In this study, we clarified the factors that affect total CCE transit time in order to perform a tolerable examination for patients. Cases and methods: Those patients who underwent CCE examination in our hospital from Jan. 2015 to Nov. 2016 were enrolled in this study (12 patients including 4 men, mean age 58.5 years). Between those who excrete CCE rapidly (＜four hours: rapid group) and slowly (Sfour hours: slow group), factors that might influence CCE transit time such as the background of patients, the past history of abdominal surgery and the number of steps, were retrospectively evaluated. The ethical committee of our hospital approved this study and written informed consent was obtained from all the patients. Results: The CCE excretion rate was 100% and no adverse events were occurred. The median whole gastrointestinal tract transit time was 254 (110-487) minutes. The median colon transit time was 163.5 (5-376) minutes. Compared with patients in rapid group, those in slow group needed significantly greater amount of “booster” (pZ0.012) and exhibited longer sigmoid colon transit time (pZ0.030). In addition, we compared the number of steps in both group, since walking (especially going up and down in stairs) has been reported to be effective to increase the excretion rate of CCE. And we found that there were no significant differences in the number of steps between two groups. However, those who walked more than 15 steps/ min as assessed by podmeter during the examination tended to result in an early excretion (PZ0.070) To further evaluate the tolerability of CCE, patients were requested to answer the questionnaire and, 30% of patients answered that CCE is not tolerable at all. Conclusion: For the rapid excretion of CCE and improvement of tolerability, the shortening of sigmoid colon transit time can be an effective strategy.
www.giejournal.org
safe and effective outpatient procedure for treating rectal bleeding due to internal hemorrhoids.
Privacy pants with a back zipper
Sa1755 Privacy Pants in Colonoscopy: A Novel Approach to Enhance Colon Cancer Screening Ali Aamar*1, Kamraan Madhani1, Zeeshan Butt2, Iqra Ali3, Harry R. Aslanian4 1 Yale-Waterbury Hospital, Waterbury, CT; 2Internal Medicine, Prince George’s Hospital, Cheverly, MD; 3Department of Public health, Waterbury, CT; 4Gastroenterology, Yale New Haven Hospital, Waterbury, CT Background: The current standard of practice in the United States (US) is for the patients to wear a one-piece, reusable cloth gown. The gown exposes the entire back and pelvic anatomy during colonoscopy. Patients report embarrassment as a significant and common reason for not having a colonoscopy. The endoscopy staff can also become embarrassed and uncomfortable, most commonly for the combination of male patients and female staff. Specifically designed patient’s gowns, such as privacy pants with a back zipper, provide maximal and personalized coverage to maintain the patient’s and medical staff’s dignity. Objectives: The objectives of this study are to assess whether the use of privacy pants can improve physical privacy protection among patients during the colonoscopy procedure. This study also assesses whether privacy pants can minimize embarrassment of bodily exposure during colonoscopy. Methods: This is a cross-sectional survey study. Patients admitted for colonoscopy were offered privacy pants. Patients completed questionnaires before and after their colonoscopy procedure. Patients were asked to rank their level of satisfaction, respect, and privacy protection on a scale of 0 through 10, with 0 being the lowest and 10 being the highest. Patients were asked to rank their feeling of embarrassment during the procedure, with 0 being no embarrassment and 10 being highly embarrassed. Patients were asked to compare their prior colonoscopy experience with a traditional gown to their privacy pants experience on a scale of 0 through 10. Results: A total of 16 patients who underwent colonoscopy wearing privacy pants were interviewed through structured questionnaires. 11 (68.8%) were female and 5 (31.3%) were male. Almost all patients said that they felt respected during the procedure, with an average score of 9.5. Fourteen out of sixteen patients said that they did not feel embarrassed at all during the procedure. 56% patients said that they will “definitely” (score of 10/10) choose privacy pants for their next colonoscopy, with an average score of 8.3 for all patients. 68% of patients “definitely” (score of 10/10) wanted to have the colonoscopy again if recommended, with a mean score of 8.9 for all patients. Majority of patient felt that compared to the traditional gown, privacy pants increased privacy protection, with an average score of 7.6. Conclusion: Most patients reported that privacy pants increase physical privacy protection during colonoscopy. In addition, patients felt more respected, more satisfied, and less embarrassed while wearing privacy pants during colonoscopy. Patients preferred privacy pants over traditional hospital gowns during colonoscopy procedures. Privacy pants can enhance colon cancer screening by increasing physical privacy protection and minimizing embarrassment.
AB268 GASTROINTESTINAL ENDOSCOPY Volume 85, No. 5S : 2017
Sa1756 The Shortening of Sigmoid Colon Transit Time Can Be an Effective Strategy for a Tolerable Colon Capsule Endoscopic Examination; A Retrospective Study Rieko Mukai*, Osamu Handa, Yuriko Onozawa, Osamu Dohi, Tetsuya Okayama, Naohisa Yoshida, Kazuhiro Kamada, Kazuhiro Katada, Kazuhiko Uchiyama, Takeshi Ishikawa, Tomohisa Takagi, Hideyuki Konishi, Yuji Naito, Yoshito Itoh Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Kyoto, Japan Background: In Japan, a colon capsule endoscope (CCE) has been able to be used in the clinical field since Jan. 2014. However, there are some reasons that disturb the clinical use of CCE examination; CCE is expensive, needs bothersome preparation, or takes a long time for excretion from anus. Aim: In this study, we clarified the factors that affect total CCE transit time in order to perform a tolerable examination for patients. Cases and methods: Those patients who underwent CCE examination in our hospital from Jan. 2015 to Nov. 2016 were enrolled in this study (12 patients including 4 men, mean age 58.5 years). Between those who excrete CCE rapidly (＜four hours: rapid group) and slowly (Sfour hours: slow group), factors that might influence CCE transit time such as the background of patients, the past history of abdominal surgery and the number of steps, were retrospectively evaluated. The ethical committee of our hospital approved this study and written informed consent was obtained from all the patients. Results: The CCE excretion rate was 100% and no adverse events were occurred. The median whole gastrointestinal tract transit time was 254 (110-487) minutes. The median colon transit time was 163.5 (5-376) minutes. Compared with patients in rapid group, those in slow group needed significantly greater amount of “booster” (pZ0.012) and exhibited longer sigmoid colon transit time (pZ0.030). In addition, we compared the number of steps in both group, since walking (especially going up and down in stairs) has been reported to be effective to increase the excretion rate of CCE. And we found that there were no significant differences in the number of steps between two groups. However, those who walked more than 15 steps/ min as assessed by podmeter during the examination tended to result in an early excretion (PZ0.070) To further evaluate the tolerability of CCE, patients were requested to answer the questionnaire and, 30% of patients answered that CCE is not tolerable at all. Conclusion: For the rapid excretion of CCE and improvement of tolerability, the shortening of sigmoid colon transit time can be an effective strategy.
www.giejournal.org