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Efficacy of ScopeGuide-Assisted Training in Enhancing Colonoscopy Competence and Reducing Patient Discomfort.

OBJECTIVE: In this study, we aimed to evaluate the efficacy of the Magnetic Scope Guide Assist (ScopeGuide) in enhancing the procedural competence of endoscopists and reducing patient discomfort during colonoscopy.

METHODS: This was a retrospective study with 88 trainee participants. The study participants were trained on patients who underwent colonoscopy without anesthesia. Both ScopeGuide-assisted training and conventional training (without ScopeGuide) were utilized for colonoscopy instruction. The outcomes of training were compared, with a particular emphasis on the competency of looping resolution.

RESULTS: ScopeGuide-assisted training was superior to conventional training in multiple aspects, including looping resolution (Z=-3.681, P<0.001), pain scores (Z=-4.211, P<0.001), time to reach the cecum (Z=-4.06, P<0.001), willingness to undergo repeat colonoscopy (Z=-4.748, P<0.001), competence of positional changes (Z=-4.079, P<0.001), and the effectiveness of assisted compression (Z=-3.001, P=0.003). Further stratified analysis revealed that the ScopeGuide-assisted training mode was more beneficial for junior endoscopists (P<0.05 in all parameters) but not for intermediate endoscopists (P>0.05) and partially beneficial for senior endoscopists (P<0.05 for all parameters except looping resolution).

CONCLUSION: ScopeGuide-assisted training can significantly facilitate endoscopists in resolving loops and reducing patient pain, thereby enhancing their colonoscopy abilities.

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