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Efficacy and safety of the starting position during colonoscopy: a systematic review and meta-analysis.


ABSTRACT: Background and study aims  We aimed to assess the efficacy and safety of the starting position during colonoscopy. Patients and methods  We searched CENTRAL, MEDLINE, EMBASE, and the WHO International Clinical Trials Registry Platform through February 2019 to identify studies reporting the comparison between the right/supine/prone/tilt-down and left lateral starting position during colonoscopy. The primary outcomes were mean cecal insertion time and adverse events requiring medication. Two reviewers performed study selection and risk of bias assessment. We determined the quality of evidence using the Grading of Recommendations, Assessment, Development, and Evaluation method. This study was registered in PROSPERO (CRD42019124360). Results  We identified 10 randomized co

SUBMITTER: Watanabe J 

PROVIDER: S-EPMC7297618 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature