Combination of water immersion and carbon dioxide insufflation for minimal sedation colonoscopy: A prospective, randomized, single-center trial

European Journal of Gastroenterology and Hepatology

Volumn 24, Issue 8, 2012, Pages 971-977

  Falt, Přemysl ^a   Liberda, Martin ^a   Šmajstrla, Vít ^a   Kliment, Martin ^a   Bártková, Alice ^a   Tvrdík, Josef ^b   Fojtík, Petr ^a   Urban, Ondřej ^a,c  

^a Vitkovicka nemocnice as   (Czech Republic)

^b Faculty of Science   (Czech Republic)

^c UNIVERSITY OF OSTRAVA   (Czech Republic)

Author keywords

carbon dioxide insufflations; colonoscopy; water immersion

Indexed keywords

CARBON DIOXIDE; MIDAZOLAM;

ABDOMINAL DISCOMFORT; ABDOMINAL PAIN; ADULT; AGED; ARTICLE; BLOATING; CECUM; COLONOSCOPY; CONTROLLED STUDY; FEMALE; FLATULENCE; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PROSPECTIVE STUDY; SEDATION; WATER IMMERSION;

ABDOMINAL PAIN; ADULT; AGED; CARBON DIOXIDE; COLONOSCOPY; CONSCIOUS SEDATION; FEMALE; FLATULENCE; HUMANS; IMMERSION; INSUFFLATION; MALE; MIDDLE AGED; PATIENT SATISFACTION; PROSPECTIVE STUDIES; WATER;

EID: 84864038337     PISSN: 0954691X     EISSN: 14735687     Source Type: Journal    
DOI: 10.1097/MEG.0b013e3283543f16     Document Type: Article

References (21)

1. Early DS, Saifuddin T, Johnson JC, King PD, Marshall JB. Patient attitudes toward undergoing colonoscopy without sedation. Am J Gastroenterol 1999; 94:1862-1865.
2. Subramanian S, Liangpunsakul S, Rex DF. Preprocedure patient values regarding sedation for colonoscopy. J Clin Gastroenterol 2005; 39: 516-519.
3. Romagnuolo J, Cotton PB, Eisen G, Vargo J, Petersen BT. Identifying and reporting risk factors for adverse events in endoscopy. Part I: Cardiopulmonary events. Gastrointest Endosc 2011; 73:579-585.
4. Leung FW, Leung JW, Mann SK, Friedland S, Ramirez FC. The water method significantly enhances patient-centered outcomes in sedated and unsedated colonoscopy. Endoscopy 2011; 43:816-821.
5. Leung FW, Leung JW, Mann SK, Friedland S, Ramirez FC, Olafsson S. DDW 2011 cutting edge colonoscopy techniques - state of the art lecture master class - warm water infusion/CO2 insufflation for colonoscopy. J Interv Gastroenterol 2011; 1:78-82.
6. Delon ES, Hawk JS, Grimm IS, Shaheen NJ. The use of carbon dioxide for insufflation during GI endoscopy: A systematic review. Gastrointest Endosc 2009; 69:843-849.
7. Kim LS, Koch J, Yee J, Halvorsen R, Cello JP, Rockey DC. Comparison of patients' experiences during imaging tests of the colon. Gastrointest Endosc 2001; 54:67-74.
8. Leung CW, Kaltenbach T, Soetikno R, Wu KK, Leung FW, Friedland S. Water immersion versus standard colonoscopy insertion technique: Randomized trial show promise for minimal sedation. Endoscopy 2010; 42:557-563.
9. Falchuk ZM, Griffin PH. A technique to facilitate colonoscopy in areas of severe diverticular disease [letter]. New Engl J Med 1984; 310:598.
10. Leung JW, Salera R, Toomsen L, Mann SK, Leung FW. Pilot feasibility study of the method of water infusion without air insufflation in sedated colonoscopy. Dig Dis Sci 2009; 54:1997-2001.
11. Leung JW, Mann SK, Siao-Salera R, Ransibrahmanakul K, Lim B, Canete W, et al. A randomized, controlled trial to confirm the beneficial effects of the water method on U.S. veterans undergoing colonoscopy with the option of on-demand sedation. Gastrointest Endosc 2011; 73:103-110.
12. Leung FW, Harker JO, Jackson G, Okamoto KE, Behbahani OM, Jamgotchian NJ, et al. A proof-of-principle, prospective, randomized, controlled trial demonstrating improved outcomes in scheduled unsedated colonoscopy by the water method. Gastrointest Endosc 2010; 72:693-700.
13. Radaelli F, Paggi S, Amato A, Terruzzi V. Warm water infusion versus air insufflation for unsedated colonoscopy: A randomized, controlled trial. Gastrointest Endosc 2010; 72:701-709.
14. Leung FW, Leung JW, Siao-Salera RM, Mann SK, Jackson G. The water method significantly enhances detection of diminutive lesions (adenoma and hyperplastic polyp combined) in the proximal colon in screening colonoscopy - data derived from two RCT in US veterans. J Interv Gastroenterol 2011; 1:48-52.
15. Rogers BH. The safety of carbon dioxide insufflation during colonoscopic electrosurgical polypectomy. Gastrointest Endosc 1974; 20:114-117.
16. Stevenson GW, Wilson JA, Wilkinson J. Pain following colonoscopy: Elimination with carbon dioxide. Gastrointest Endosc 1992; 38: 564-567.
17. Sumanac K, Zealley I, Fox BM. Minimizing postcolonoscopy abdominal pain by using CO(2) insufflation: A prospective, randomized, double blind, controlled trial evaluating a new commercially available CO(2) delivery system. Gastrointest Endosc 2002; 56:190-194.
18. Bretthauer M, Lynge AB, Thiis-Evensen E, Hoff G, Fausa O, Aabakken L. Carbon dioxide insufflation in colonoscopy: Safe and effective in sedated patients. Endoscopy 2005; 37:706-709.
19. Geyer M, Guller U, Beglinger C. Carbon dioxide insufflation in routine colonoscopy is safe and more comfortable: Results of a randomized controlled double-blinded trial. Diagn Ther Endosc 2011; 2011:378906-21747649.
20. Maple JT, Keswani RN, Hovis RM, Saddedin EZ, Jonnalagadda S, Azar RR, et al. Carbon dioxide insufflation during ERCP for reduction of postprocedure pain: A randomized, double-blind, controlled trial. Gastrointest Endosc 2009; 70:278-283.
21. Hirai F, Beppu T, Nishimura T, Takatsu N, Ashizuka S, Seki T, et al. Carbon dioxide insufflation compared with air insufflation in double balloon enteroscopy: A prospective, randomized, double-blind trial. Gastrointest Endosc 2011; 73:743-749.