Deep small bowel insertion during double balloon enteroscopy can be difficult to achieve.
Aims
To determine the factors influencing depth of insertion during double balloon enteroscopy.
Methods
History of abdomino-pelvic surgery, route of insertion, type of enteroscope, age, sedation or general anaesthesia used and gender were considered as potential influencing factors; procedures were categorised accordingly and maximal depth of insertion calculated.
Results
At multivariate analysis, maximal depth of insertion was significantly associated with history of abdominal-pelvic surgery (P < 0.001), rectal approach (P = 0.011), gender (P = 0.02) and use of the therapeutic enteroscope (P = 0.047). Mean maximal depth of insertion was 266 ± 12 cm, 255 ± 9 cm (P = 0.50), 197 ± 10 cm (P < 0.0001), 160 ± 12 cm (P < 0.01) and 103 ± 33 cm (P < 0.15) when 0, 1, 2, 3 and 4 influencing factors were present, respectively.
Conclusion
Maximal depth of insertion was significantly influenced by history of abdomino-pelvic surgery, insertion route, gender and type of enteroscope used. 相似文献
Polysulfone‐based membranes with excellent chemical resistance and a wet thickness up to 200 μm are obtained via UV curing of unmodified polymers after careful tuning of the photoinitiating system and the crosslinker structure. Combinations of photoinitiator and crosslinker are studied in depth, followed by a characterization of the formed macromolecular structure. The performance of the resulting membranes is then evaluated through long‐term immersion in solvents. Classical depth‐curing acyl phosphine oxide‐based photoinitiators in combination with a pentaacrylate crosslinker are found to be the optimal system.
Aim: This study aimed to investigate the effects of cigarette smoking on periodontal conditions in specific tooth regions of older Thai men. Methods: There were 272 current smokers, 714 former smokers, and 477 non‐smokers enrolled in the present study. Differences between groups in the mean probing depth or attachment loss were compared using ancova . The relationship between smoking exposure or cessation duration and periodontal conditions was examined using linear trend analysis. Results: Smokers had deeper pockets and attachment loss than non‐smokers. The greatest differences between smokers and non‐smokers were observed in the maxillary posterior palatal region, where current smokers had 0.88 mm greater attachment loss than non‐smokers, compared to 0.36–0.60 mm observed in other tooth regions. Among the current smokers, there was a trend towards an increase in attachment loss with increasing smoking exposure in the maxillary posterior regions. However, it was not statistically significant. Among the former smokers, a better periodontal condition was observed, depending on the length of time since smoking cessation; this was most pronounced in the maxillary posterior palatal region. Conclusions: The palatal site of maxillary posterior teeth was the area most affected by cigarette smoke. The results suggest a possible local effect of smoking in addition to its systemic effects. 相似文献