Evaluation of the Value of Using Simple Elastic Abdominal Binder during Colonoscopy

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Background: Colonoscopy is the most sensitive and specific means for examining the colon, particularly for the diagnosis of colon cancers and polyps. Objective: The goal of our study was to evaluate the use of simple elastic abdominal binder during colonoscopy and its outcome on the ease, safety and success of the procedure. Patients and methods: This prospective study included a total of 120 patients who were scheduled to undergo elective colonoscopy for evaluating the value of application of elastic abdominal binder during colonoscopy, attending at Endoscopy Unit AL-Hussein University Hospital. This study was conducted between April 2018 to August 2019. The included subjects were randomly divided into two groups; Group 1 consisted of 60 patients underwent colonoscopy with use of abdominal binder (AB), Group 2 consisted of 60 patients underwent colonoscopy without use of AB. Results: showed that the commonest indication for colonoscopy was chronic constipation in 32 cases (26.6%) then bleeding per rectum in 30 cases (25%) with no significant differences between the studied groups. Hypertension (HTN) was the commonest co-morbidities of all 103 studied patients with no significant differences between the studied groups. Duration of procedure (cecal intubation) was less with use of abdominal binder. Patient repositioning was less frequent with use of abdominal binder during colonoscopy. Conclusion: It could be concluded that abdominal binder provides some benefits and help endoscopist to achieve high quality colonoscopy in shorter duration with higher rates of cecal intubation and lower rates of repositioning of patients.