Difficult colonoscopy: air, carbon dioxide, or water insufflation?

Background/AimsThis study aimed to compare tolerance to air, carbon dioxide, or water insufflation in patients with anticipated difficult colonoscopy (young, thin, obese individuals, and patients with prior abdominal surgery or irradiation).MethodsPatients with body mass index (BMI) less than 18 kg/...

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Bibliographic Details
Published in:Intestinal research 2018, 16(2), , pp.299-305
Main Authors: Chaubal, Alisha, Pandey, Vikas, Patel, Ruchir, Poddar, Prateik, Phadke, Aniruddha, Ingle, Meghraj, Sawant, Prabha
Format: Article
Language:English
Subjects:
Carbon dioxide insufflation
Colonoscopy
Insufflation
Original
Water immersion
내과학
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Summary:Background/AimsThis study aimed to compare tolerance to air, carbon dioxide, or water insufflation in patients with anticipated difficult colonoscopy (young, thin, obese individuals, and patients with prior abdominal surgery or irradiation).MethodsPatients with body mass index (BMI) less than 18 kg/m2 or more than 30 kg/m2, or who had undergone previous abdominal or pelvic surgeries were randomized to air, carbon dioxide, or water insufflation during colonoscopy. The primary endpoint was cecal intubation with mild pain (less than 5 on visual analogue scale [VAS]), without use of sedation.ResultsThe primary end point was achieved in 32.7%, 43.8%, and 84.9% of cases with air, carbon dioxide and water insufflation (P
ISSN:1598-9100
2288-1956
DOI:10.5217/ir.2018.16.2.299