대한대장항문학회

Sigmoidscopy is thought to be one of the basest and most essential tools for<br>evaluation of colorectal patient because it could be performed in an out patient clinic<br>with only minimal bowel preparation.<br>Aim: The aim of this study was to assess the patient's best position for<br>sigmoidoscopy.<br>Materials and Methods: Between March 4, 1997 and April 18, 1997, all patients who<br>visited the colorectal clinic at the Dept. of Surgery, Korea Veterans Hospital were<br>alternately underwent sigmoidoscopy in these four different positions: supine(S), left<br>lateral(L), right lateral(R), and jack-knife(J). Sigmoidocopy was routinely performed for<br>all patients who had lower gastrointestinal problems and was done by two well traind<br>surgeons who had performed more than 100 sigmoidoscopies previously to this study,<br>The patients who could not be tolerate insertion of the total length (60 cm) of the<br>sigmoidoscope due to poor bowel preparation and/or complete obstruction by a mass<br>were excluded. We evaluated the patient's complaints according to minimal, moderate,<br>and severe discomfort and time between start and complete insertion of the 60 cm<br>length of the sigmoidoscope. Statistical analysis was performed by an appropriate Anova<br>test and Fisher's exact test.<br>Results: There were no differences among these four groups relative to age(5; 58.0 ?br>12.7, L; 64.3?0.0, R; 62.0?10.1, J; 56.0?12.9), gender(5; 76%, L; 70%, R; 72%, J,<br>83%, male ratio), degree of discomfort (mild: 42.9% (5), 50% (L), 33.3%(R), 66.7%(J),<br>moderate: 42.9%(5), 34.6%(L),25%(R), 13.3%(J), severe: 14.3%(5), 15.4%(L),<br>41.7%(R),<br>20%(J)) and duration of insertion of the sigmoidoscope(5; 264.4 ?192.9, L; 226.5 ?67,<br>R; 301.6?361.3, J; 202.5 ?117.8 seconds). Also, there were no statistical significances<br>between the two groups according to the surgeon who performed the procedure.<br>Conclusion: The best position for sigmoidoscopy does not depend on the patient's<br>position. Therefore, allowing the patient to change his position during the procedure<br>would be the best way for an easy and comfortable sigmoidscopy.<br>