medigraphic.com
ISSN 1995-9427 (Print)

2014, Number 1

<< Back Next >>

Invest Medicoquir 2014; 6 (1)

Quality criteria for colonoscopy with the method of water

Tusen TY, Chao GL, Barroso ML

Language: Spanish
References: 33
Page: 70-80
PDF size: 354.80 Kb.


ABSTRACT

Introduction: The use of water in colonoscopy is an alternative to air insufflation during the insertion of the colonoscope. Methods: A randomized study was conducted between February and March 2013 in the Hospital CIMEQ, with the aim of comparing colonoscopy with water and air in behavior of some quality criteria. Results: 72 patients were randomly assigned to two groups, 31 patients in Group A (air method) and 41 patients in Group B (water method). The sample was constituted by 67 patients (Group A = 31). (Group B = 36). The quality of the preparation was adequate in 89.6 % of patients , the best results regarding the time of insertion ( 78 % vs 42 % ) and withdrawal ( 83 % vs. 42 % ) were achieved with the method of water . There was no significant difference between the two groups in the rate of cecal intubation (97.2 % water vs 90.3 % air, p › 0.05 ), nor in terms of the detection rate of polyps (30.6 % water vs 22.6 % air, p › 0.05). Neither group of patients with the method of water had pain after the procedure (0 % vs 9.7 % water air, p › 0.05). Conclusions: The water method is simple, safe and increases the overall tolerance of the procedure without compromising the rate of cecal intubation and adenoma detection.


REFERENCES

  1. Fernández Calderón M, Muñoz Navas MA, Carrascosa Gil J, Betés Ibañez MT, de la Riva S. Insuflación de CO2 vs. aire en íleo-colonoscopia y en gastroscopia más íleo-colonoscopia: estudio comparativo. Rev Esp Enferm Dig. 2012;5(104):237-41.

  2. Terruzzi V, Paggi S, Amato A, Radaelli F. Unsedated colonoscopy: A neverending story. World J Gastrointest Endosc. 2012;4(4):137-41.

  3. Park SC, Keum B, Kim ES, Jung ES, Lee SD, Park S, et al. Usefulness of Warm Water and Oil Assistance in Colonoscopy by Trainees. Dig Dis Sci. 2010;55:2940-4.

  4. Falchuk ZM, Griffin PH. A technique to facilitate colonoscopy in areas of severe diverticular disesase (letter). N Engl J Med. 1984;310:598.

  5. Leung FW. Methods of reducing discomfort during colonoscopy. Dig Dis Sci. 2008;53:1462-7.

  6. Baumann UA. Water intubation of the sigmoid colon: water instillation speeds up left-sided colonoscopy. Endoscopy. 1999;31:314-7.

  7. Hamamoto N, Nakanishi Y, Morimoto N, Inoue H, Tatukawa M, Nakata S, et al. A new water instillation method for colonoscopy without sedation as performed by endoscopists-in-training. Gastrointest Endosc. 2002;56:825-8.

  8. Church JM. Warm water irrigation for dealing with spasm during colonoscopy: simple, inexpensive, and effective. Gastrointest Endosc. 2002;56:672-4.

  9. Leung FW. Is there a place for sedation less colonoscopy? J Interv Gastroenterol. 2011;1:19-22.

  10. Leung JW, Mann SK, SiaoSalera R, Ransibrahmanakul K, Lim BS, 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;73:103-10.

  11. Brocchi E, Pezzilli R, Tomassetti P, Campana D, Morselli-Labate AM, Corinaldesi R. Warm water or oil-assisted colonoscopy: toward simpler examinations? Am J Gastroenterol. 2008;103:581-7.

  12. Ransibrahmanakul K, Leung JW, Mann SK, Siao-Salera R, Lim BS, Hasyagar C, et al. 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;7:113-8.

  13. Leung CW, Kaltenbach T, Soetikno R, Wu KK, Leung FW, Friedland S. Colonoscopy insertion technique using water immersion versus standard technique: a randomized trial showing promise for minimal-sedation colonoscopy. Endoscopy. 2010;42:557-62.

  14. Hsieh YH, Lin HJ, Tseng KC. Limited water infusion decreases pain during minimally sedated colonoscopy. World J Gastroenterol. 2011;17:2236-40.

  15. Hsieh YH, Tseng KC, Hsieh JJ, Tseng CW, Hung TH, Leung FW. Feasibility of colonoscopy with water infusion in minimally sedated patients in an Asian Community Setting. J Interv Gastroenterol. 2011;1(4):185-90.

  16. 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.

  17. Sawant PD, Samarth A, Vashishtha C, Patel J, Agasti A. Water infusion vs air insufflation colonoscopy in unsedated patients - impact on patient discomfort. DDW; 2011. p. 873.

  18. Amato A, Radaelli F, Paggi S, Spinzi G, Terruzzi V. Carbon dioxide insufflation (CO2) and warm water infusion (WWI) versus standard air insufflation (AI): preliminary results of a randomized controlled trial in unsedated colonoscopy. Dis Colon Rectum. 2013;56(4):511-8.

  19. Pohl JP, Pech O, Manner H, May A, Ell C. A RCT comparing water infusion vs air insufflation for aiding colonoscopy insertion in unsedated patients at screening colonoscopy. DDW; 2011. p. 321.

  20. Leung FW, Leung JW, Siao-Salera RM, Mann SK, Guy 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.

  21. Baxter NN, Goldwasser MA, Paszat LF, Saskin R, Urbach DR, Rabeneck L. Association of colonoscopy and death from colorectal cancer: a population-based, case–control study. Ann Intern Med. 2009;150:1-8.

  22. Brenner H, Hoffmeister M, Arndt V, Stegmaier C, Altenhofen L, Haug U. Protection from right- and left-sided colorectal neoplasms after colonoscopy: population-based study. J Natl Can Inst. 2010;102:89-95.

  23. 23. Brenner H, Chang-Claude J, Seiler CM, Rickert A, Hoffmeister M. Protection from colorectal cancer after colonoscopy: a population-based, case-control study. Ann Intern Med. 2011;154:22-30.icators for colonoscopy

  24. Kaminski MF, Regula J, Kraszewska E, Polkowski M, Wojciechowska U, Didkowska J, et al. Quality indicators for colonoscopy and the risk of interval cancer. N Engl J Med. 2010;362:1795-1803.

  25. Leung JW, Toomsen L, Mann SK, Leung FW. Chromoendoscopy (indigo carmine) combined with warm water infusion in lieu of air insufflations (water method) during insertion enhanced adenoma detection in screening and surveillance colonoscopy. Gastrointest Endosc. 2010;71:107.

  26. Yen AW , Leung JW , Leung FW. A novel method with significant impact on adenoma detection: combined water-exchange and cap-assisted colonoscopy. Gastrointest Endosc. 2013;77(6):944-8.

  27. Sawhney M, Cury N, Neeman L, Ngo J, Lewis R, Chuttani D, et al. Effect of institution-wide policy of colonoscopy withdrawal time Z7 minutes on polyp detection. Gastroenterology. 2008;13:1892-8.

  28. Leung FW, Cheung R, Fan RS, Fischer LS, Friedland S. The water exchange method for colonoscopy-effect of coaching. J Interv Gastroenterol. 2012;2(3):122-5.

  29. Leung JW, Salera R, Toomsen L. A pilot feasibility study of the methodof water infusion without air insufflations in sedated colonoscopy. Dig Dis Sci. 2009;54:1997-2001.

  30. Leung JW, Mann S, Leung FW. Option for screening colonoscopy withoutsedation-a pilot study in United States veterans. Aliment Pharmacol Ther. 2007;26:627-31.

  31. 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.

  32. Leung FW, Amato A, Ell C, Friedland S, Harker JO, Hsieh YH, et al. Water-aided colonoscopy: a systematic review. Gastrointest Endosc. 2012;76(3):657-66.

  33. González-Huix F, Montserrat F, Huertas C. Criterios de calidad que deben exigirse en la indicación y en la realización de la colonoscopia. Gastroenterol Hepatol. 2010;33:33-42.




2020     |     www.medigraphic.com