Icahn School of Medicine at Mount Sinai Queens, NY
Award: ACG Presidential Poster Award
Abdallfatah Abdallfatah, 1, Mohamed A. Aldemerdash, 2, Ahmed W. Hageen, 3, Islam Mohamed, MD4, Mahmoud Elbaklish, 5, Mohammed Hassan Morsy, 5, Ahmed R. A. Abou-Shanab, MD6, Ahmed Salem, MD7, Mohamed Eldesouki, MD8, Mohammed Abusuliman, MD9, Nermin Elhossiny, 10, Omar Abdelhalim, MD11, Hazem Abosheaishaa, MD12 1Faculty of Medicine, October 6 University, Giza, Al Jizah, Egypt; 2Sohag University, Faculty of Medicine, Sohag, Suhaj, Egypt; 3Faculty of Medicine, Tanta University, Tanta, Egypt, Tanta, Al Gharbiyah, Egypt; 4University of Missouri Columbia, Columbia, MO; 5Faculty of medicine, Alexandria University, Alexandria, Egypt, Alexandria, Al Iskandariyah, Egypt; 6School of health sciences Liberty University, Virginia, USA, Lynchburg, VA; 7Maimonides Medical Center, New York , USA, New York, NY; 8Saint Michael's Medical Center, New York Medical College, Newark, NJ; 9Henry Ford Hospital, Detroit , MI , USA, Detroit, MI; 10St Mary General hospital prime healthcare , NJ , USA, Passaic, NJ; 11Icahn School of Medicine at Mount Sinai, Queens, NY; 12Mount Sinai West, Icahn School of Medicine at Mount Sinai, Queens, NY Introduction: Colonoscopy is a vital procedure for colorectal cancer screening and intervention, yet it can be uncomfortable for patients, particularly the elderly and those with diverticular disease. In our systematic review and meta-analysis, we aimed to evaluate the impact of abdominal compression devices (ACDs) on patient comfort and procedural efficiency during colonoscopy. Methods: Systematic literature retrieval was performed in PubMed, Web of Science, Scopus, Chochrane central and Embase from inception to April 2025. Risk of bias assessment was performed by using Cochrane tool for assessing risk of bias in randomized trials (ROB2). Data-analysis was conducted using R version 4.2.2 (2022-10-31) and RStudio version 2022.07.2 (2009-2022, RStudio, Inc.) Results: Our comprehensive search across multiple databases yielded 16 randomized controlled trials (RCTs) involving 3,098 participants. Our analysis revealed that ACDs significantly reduced cecal intubation time (CIT) (MD: -2.20, 95% CI: -3.50 – -0.90; P =0.0009), manual pressure application (RR: 0.54, 95% CI: 0.39–0.76; P = 0.0003), and the need for patient repositioning (RR: 0.55, 95% CI: 0.48–0.64; P >0.0001). Additionally, ACDs were associated with lower visual analog scale (VAS) pain scores, indicating enhanced patient satisfaction. However, there were no significant differences in complete colonoscopy rates or cecal intubation lengths. Discussion: Our findings suggest that ACDs can optimize colonoscopy procedures, improve patient comfort, and reduce staff workload, warranting their integration into routine practice. Future studies should focus on standardizing ACD applications and exploring long-term outcomes to further enhance the benefits of this approach in clinical settings.
Figure: Figure 1. PRISMA flow chart showing different stages of screening and number of studies included
Figure: Figure 2. Forest plot showing the pooled MD for CIT, comparing ACD with Control.
Disclosures: Abdallfatah Abdallfatah indicated no relevant financial relationships. Mohamed A. Aldemerdash indicated no relevant financial relationships. Ahmed W. Hageen indicated no relevant financial relationships. Islam Mohamed indicated no relevant financial relationships. Mahmoud Elbaklish indicated no relevant financial relationships. Mohammed Hassan Morsy indicated no relevant financial relationships. Ahmed R. A. Abou-Shanab indicated no relevant financial relationships. Ahmed Salem indicated no relevant financial relationships. Mohamed Eldesouki indicated no relevant financial relationships. Mohammed Abusuliman indicated no relevant financial relationships. Nermin Elhossiny indicated no relevant financial relationships. Omar Abdelhalim indicated no relevant financial relationships. Hazem Abosheaishaa indicated no relevant financial relationships.
Abdallfatah Abdallfatah, 1, Mohamed A. Aldemerdash, 2, Ahmed W. Hageen, 3, Islam Mohamed, MD4, Mahmoud Elbaklish, 5, Mohammed Hassan Morsy, 5, Ahmed R. A. Abou-Shanab, MD6, Ahmed Salem, MD7, Mohamed Eldesouki, MD8, Mohammed Abusuliman, MD9, Nermin Elhossiny, 10, Omar Abdelhalim, MD11, Hazem Abosheaishaa, MD12. P2429 - Optimizing Colonoscopy with Abdominal Compression Devices: An Updated Meta-Analysis of Randomized Controlled Trials, ACG 2025 Annual Scientific Meeting Abstracts. Phoenix, AZ: American College of Gastroenterology.
