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Systematic Review and Meta-analysis
- Use of abdominal compression device in colonoscopy: a systematic review and meta-analysis
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Yousaf Zafar
, Ahmed Mustafa Rashid
, Syed Sarmad Javaid, Ahmed Kamal Siddiqi, Adnan Zafar, Arsalan Zafar Iqbal, Jagpal Singh Klair, Rajesh Krishnamoorthi - Clin Endosc 2023;56(4):446-452. Published online May 26, 2023
- DOI: https://doi.org/10.5946/ce.2022.304
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Graphical Abstract
Abstract
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Supplementary Material - Background
/Aims: Colonoscopy for screening is associated with unpleasant experiences for patients, and abdominal compression devices have been developed to minimize these problems. However, there is a paucity of data supporting the therapeutic benefits of this strategy. This study examined the effects of using an abdominal compression device during colonoscopy on the cecal intubation time (CIT), abdominal compression, patient comfort, and postural changes.
Methods
We searched PubMed and Scopus (from inception to November 2021) for randomized controlled trials that assessed the effects of an abdominal compression device during colonoscopy on CIT, abdominal compression, patient comfort, and postural change. A random-effects meta-analysis was performed. Weighted mean differences (WMDs) and Mantel-Haenszel odds ratios (ORs) were calculated.
Results
Our pooled analysis of seven randomized controlled trials revealed that abdominal compression devices significantly reduced CIT (WMD, –0.76 [–1.49 to –0.03] minutes; p=0.04), abdominal compression (OR, 0.52; 95% confidence interval [CI], 0.28–0.94; p=0.03), and postural changes (OR, 0.46; 95% CI, 0.27–0.78; p=0.004) during colonoscopy. However, our results did not show a significant change in patient comfort (WMD, –0.48; 95% CI, –1.05 to 0.08; p=0.09) when using an abdominal compression device.
Conclusions
Our findings demonstrate that employing an abdominal compression device may reduce CIT, abdominal compression, and postural change but have no impact on patient comfort. -
Citations
Citations to this article as recorded by
- Optimizing colonoscopy with abdominal compression devices: an updated meta-analysis of randomized controlled trials
Abdallfatah Abdallfatah, Mohamed A. Aldemerdash, Ahmed W. Hageen, Samaa Daoud, Mahmoud Elbaklish, Mohammed Hassan Morsy, Ahmed R. A. Abou-Shanab, Islam Mohamed, Hazem Abosheaishaa
Baylor University Medical Center Proceedings.2026; 39(1): 96. CrossRef - Abdominal binders improve colonoscopy outcomes: a systematic review and meta-analysis of randomized controlled trials with BMI-stratified subgroup analysis
Yu-Kuang Kang, Tien-Yu Huang, Meng-Chuan Lu, Peng-Jen Chen, Po-Feng Huang
Therapeutic Advances in Gastroenterology.2026;[Epub] CrossRef - Evidence-Based Foundations and Training Implementation of Standardized Colonoscope Insertion Protocols
灵 灵
Advances in Clinical Medicine.2026; 16(08): 600. CrossRef - Use of an abdominal binder in colonoscopies performed by trainees in gastrointestinal endoscopy: a randomized, double-blind, sham-controlled trial
Antonio Marmolejo, Sinue Cázarez, Carlos J. Mata, Sergio Ayala, Jorge Farell, Nubia A. Ramírez, Carlos A. Navarro Castañeda, Luis García
Surgical Endoscopy.2025; 39(5): 3236. CrossRef - Terminal ileum in screening colonoscopy: routine practice or risk-stratified approach?
Seong-Jung Kim
Clinical Endoscopy.2025; 58(5): 696. CrossRef
- Optimizing colonoscopy with abdominal compression devices: an updated meta-analysis of randomized controlled trials
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