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Usefulness of warm water and oil assistance in colonoscopy by trainees.
- Source :
- Digestive Diseases & Sciences; Oct2010, Vol. 55 Issue 10, p2940-2944, 5p, 1 Diagram, 3 Charts
- Publication Year :
- 2010
-
Abstract
- <bold>Background and Study Aims: </bold>Success rate of cecal intubation, endoscopist's difficulty, and procedure-related patient pain are still problems for beginners performing colonoscopy. New methods to aid colonoscopic insertion such as warm water instillation and oil lubrication have been proposed. The aim of this study is to evaluate the feasibility of using warm water or oil in colonoscopy.<bold>Methods: </bold>Colonoscopy was performed in 117 unsedated patients by three endoscopists-in-training. Patients were randomly allocated to three groups, using a conventional method with administration of antispasmodics, warm water instillation, and oil lubrication, respectively. Success rate of total intubation within time limit (15 min), cecal intubation time, degree of endoscopist's difficulty, and level of patient discomfort were compared among the three groups.<bold>Results: </bold>Cecal intubation time was shorter in the warm water group than in the conventional and oil groups. Degree of procedural difficulty was lower in the warm water group, and patient pain score was higher in the oil lubrication group, compared with the other groups. However, there was no significant difference in success rate of intubation within time limit among the three groups.<bold>Conclusions: </bold>The warm water method is a simple, safe, and feasible method for beginners. Oil lubrication may not be a useful method compared with conventional and warm water method. [ABSTRACT FROM AUTHOR]
- Subjects :
- COLONOSCOPY
INTESTINE intubation
ANTISPASMODICS
LUBRICATING oils
WATER
FEASIBILITY studies
PREVENTIVE medicine
FATS & oils
PARASYMPATHOLYTIC agents
LUBRICATION & lubricants
CECUM
CLINICAL trials
COLON diseases
COMPARATIVE studies
HEAT
INTERNAL medicine
RESEARCH methodology
MEDICAL cooperation
PAIN
RESEARCH
WAKEFULNESS
PILOT projects
EVALUATION research
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 01632116
- Volume :
- 55
- Issue :
- 10
- Database :
- Complementary Index
- Journal :
- Digestive Diseases & Sciences
- Publication Type :
- Academic Journal
- Accession number :
- 53840511
- Full Text :
- https://doi.org/10.1007/s10620-009-1096-6