title: [The value of using fluoroscopy during colonoscopy. A prospective randomized study].
abstract: BACKGROUND
  No randomised trials have estimated the value of using fluoroscopy for colonoscopy. The aim of our study was to estimate the rate of success using this method.
  
  
  METHODS
  In a prospective trial 264 patients were included, 139 were examined without fluoroscopy-equipment (Group A), and 125 with fluoroscopy-equipment (Group B). We registered: Indication for colonoscopy, duration of the colonoscopy, medication, time in which X-ray was being used, whether coecum was reached or not, clinical results of the examinations and complications. In cases where coecum was not intubated the cause was registered.
  
  
  RESULTS
  We found a significantly higher rate of success of the colonoscopy in Group B (84%) than in group A (74%) (p = 0.045). Pain and looping of the scope were the main reasons for insufficient examination.
  
  
  CONCLUSIONS
  In a modern endoscopic ward fluoroscopy must be available, but it seems reasonable to start uncomplicated colonoscopies without the use of fluoroscopy. In cases where coecal intubation is not obtained, conversion to examination with fluoroscopy should be possible.
authors.affiliation: Parenkymkirurgisk Afdeling, Centralsygehuset i Naestved. krta@dadlnet.dk
authors.forename: Kristina M
authors.initials: KM
authors.lastname: Renault
authors.forename: Ditte C
authors.initials: DC
authors.lastname: Brander
authors.forename: Else Hove
authors.initials: EH
authors.lastname: Kristensen
authors.forename: Merete
authors.initials: M
authors.lastname: Christensen
authors.forename: Henrik
authors.initials: H
authors.lastname: Ovesen
mesh_terms: D000328:Adult; D003108:Colonic Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging; D003113:Colonoscopy / Q000009:adverse effects / Q000379:methods*; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012002:Rectal Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging