Water Exchange vs. Water Immersion During Colonoscope Insertion

被引:13
作者
Rex, Douglas K. [1 ]
机构
[1] Indiana Univ, Sch Med, Dept Med, Div Gastroenterol Hepatol, Indianapolis, IN 46202 USA
关键词
AIR INSUFFLATION; CONTROLLED-TRIAL; INFUSION; INTUBATION; QUALITY; RISK;
D O I
10.1038/ajg.2014.235
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Water exchange (water infusion with water removal primarily during insertion) and water immersion (water infusion with water removal during withdrawal) reduce patient discomfort during colonoscope insertion compared with air insufflation, and represent a major achievement in colonoscopy. Hsieh et al. found that water exchange, relative to water immersion, resulted in more painless insertions to the cecum and improved adenoma detection in the right colon. However, water exchange is also associated with better bowel cleansing and longer insertion and procedure times. These factors are not specifi c to water exchange, but could account for all or part of the better results with water exchange. Additional controlled investigation is needed to define the benefits of water exchange compared with water immersion.
引用
收藏
页码:1401 / 1403
页数:3
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