Comparative effectiveness of water infusion vs air insufflation in colonoscopy: A meta-analysis

Colorectal Disease

Volumn 15, Issue 4, 2013, Pages 404-409

  Jun, W U ^a   Bing, H U ^a  

^a SECOND MILITARY MEDICAL UNIVERSITY   (China)

Author keywords

Air insufflation; Colonoscopy; Meta analysis; Water infusion

Indexed keywords

ABDOMINAL DISCOMFORT; ABDOMINAL PAIN; AIR INSUFFLATION; CECUM; COLONOSCOPY; HUMAN; INTERMETHOD COMPARISON; META ANALYSIS; OUTCOME ASSESSMENT; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); REVIEW; SEDATION; SENSITIVITY ANALYSIS; SYSTEMATIC REVIEW; WATER INFUSION;

ABDOMINAL PAIN; AIR; COLONOSCOPY; CONSCIOUS SEDATION; HUMANS; INSUFFLATION; WATER;

EID: 84875668941     PISSN: 14628910     EISSN: 14631318     Source Type: Journal    
DOI: 10.1111/j.1463-1318.2012.03194.x     Document Type: Review

References (20)

1. Rex DK. Colonoscopy. Gastrointest Endosc Clin N Am 2000; 10: 135-60.
2. 2 insufflation during colonoscopy decreases post-interventional pain in deeply sedated patients: a randomized controlled trial. Wien Klin Wochenschr 2009; 121: 464-8.
3. Bretthauer M, Thiis-Evensen E, Huppertz-Hauss G et al. NORCCAP (Norwegian colorectal cancer prevention). A randomised trial to assess the safety and efficacy of carbon dioxide versus air insufflation in colonoscopy. Gut 2002; 50: 604-7.
4. Brooker JC, Saunders BP, Shah SG, Williams CB. A new variable stiffness colonoscope makes colonoscopy easier: a randomised controlled trial. Gut 2000; 46: 801-5.
5. Bright E, Roseveare C, Dalgleish D, Kimble J, Elliott J, Shepherd H. Patient-controlled sedation for colonoscopy: a randomized trial comparing patient-controlled administration of propofol and alfentanil with physician-administered midazolam and pethidine. Endoscopy 2003; 35: 683-7.
6. Falchuk ZM, Griffin PH. A technique to facilitate colonoscopy in areas of severe diverticular disease. N Engl J Med 1984; 310: 598.
7. Hamamoto N, Nakanishi Y, Morimoto N et al. A new water instillation method for colonoscopy without sedation as performed by endoscopists-in-training. Gastrointest Endosc 2002; 56: 825-8.
8. Baumann UA. Water intubation of the sigmoid colon: water instillation speeds up left-sided colonoscopy. Endoscopy 1999; 31: 314-7.
9. Leung JW, Mann S, Leung FW. Options for screening colonoscopy without sedation: a pilot study in United States veterans. Aliment Pharmacol Ther 2007; 26: 627-31.
10. Leung FW, Aharonian HS, Leung JW, Guth PH, Jackson G. Impact of a novel water method on scheduled unsedated colonoscopy in U.S. veterans. Gastrointest Endosc 2009; 69: 546-50.
11. Leung CW, Kaltenbach T, Soetikno R, Wu KK, Leung FW, Friedland S. Water immersion versus standard colonoscopy insertion technique: randomized trial shows promise for minimal sedation. Endoscopy 2010; 42: 557-63.
12. Leung JW, Mann SK, Siao-Salera R et al. A randomized, controlled comparison of warm water infusion in lieu of air insufflation versus air insufflation for aiding colonoscopy insertion in sedated patients undergoing colorectal cancer screening and surveillance. Gastrointest Endosc 2009; 70: 505-10.
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: 701-9.
14. Pohl J, Messer I, Behrens A, Kaiser G, Mayer G, Ell C. Water infusion for cecal intubation increases patient tolerance, but does not improve intubation of unsedated colonoscopies. Clin Gastroenterol Hepatol 2011; 9: 1039-43.
15. Leung J, Mann S, Siao-Salera R 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: 103-10.
16. Leung FW, Harker JO, Jackson G 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.
17. Rex DK, Rahmani EY, Haseman JH, Lemmel GT, Kaster S, Buckley JS. Relative sensitivity of colonoscopy and barium enema for detection of colorectal cancer in clinical practice. Gastroenterology 1997; 112: 17-23.
18. Kim WH, Cho YJ, Park JY, Min PK, Kang JK, Park IS. Factors affecting insertion time and patient discomfort during colonoscopy. Gastrointest Endosc 2000; 52: 600-5.
19. Ko CW, Riffle S, Shapiro JA et al. Incidence of minor complications and time lost from normal activities after screening or surveillance colonoscopy. Gastrointest Endosc 2007; 65: 648-56.
20. Ransibrahmanakul K, Leung JW, Mann SK, Siao-Salera R. Comparative effectiveness of water vs. air methods in minimal sedation colonoscopy performed by supervised trainees in the US-randomized controlled trial. Am J Clin Med 2010; 7: 3.