- Endoscopy
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Difficult colonoscopy: air, carbon dioxide, or water insufflation?
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Alisha Chaubal, Vikas Pandey, Ruchir Patel, Prateik Poddar, Aniruddha Phadke, Meghraj Ingle, Prabha Sawant
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Intest Res 2018;16(2):299-305. Published online April 30, 2018
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DOI: https://doi.org/10.5217/ir.2018.16.2.299
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 Abstract
 PDF Supplementary Material PubReader ePub
- <b>Background/Aims</b><br/>
This 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<0.001). The mean pain scores were 5.17, 4.72, and 3.93 on the VAS for air, carbon dioxide, and water insufflation (P<0.001). The cecal intubation rate or procedure time did not differ significantly between the 3 groups. ConclusionsWater insufflation was superior to air or carbon dioxide for pain tolerance. This was seen in the subgroups with BMI <18 kg/m2 and the post-surgical group, but not in the group with BMI >30 kg/m2.
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Citations
Citations to this article as recorded by  - Retrograde colon imaging through colonic transendoscopic enteral tubing helps to confirm the cause of difficult colonoscopy: a case report
Xiaomeng Jiang, Runqing Wang, Haibo Sun, Faming Zhang
Therapeutic Advances in Gastrointestinal Endoscopy.2024;[Epub] CrossRef - Causes of intraprocedural discomfort in colonoscopy: a review and practical tips
Jabed F. Ahmed, Ara Darzi, Lakshmana Ayaru, Nisha Patel
Therapeutic Advances in Gastrointestinal Endoscopy.2024;[Epub] CrossRef - Research on driving force of capsule endoscope in fluid
Zhifan Teng, Jianhua Liu, Hongbo Sun, Quanyue Liu, Yujia Zhai, Qiuliang Wang
Archive of Applied Mechanics.2023; 93(12): 4387. CrossRef - Robot-assisted magnetic capsule endoscopy; navigating colorectal inclinations
Salman Mahmood, Sebastian Schostek, Marc O. Schurr, Jacob Bergsland, Ilangko Balasingham, Erik Fosse
Minimally Invasive Therapy & Allied Technologies.2022; 31(6): 930. CrossRef - Magnetic endoscopic imaging as a rational investment for specific colonoscopies: a systematic review and meta-analysis
Xiangzhou Tan, Weimin Yang, Doerte Wichmann, Changhao Huang, Benedikt Mothes, K.E. Grund, Zhikang Chen, Zihua Chen
Expert Review of Gastroenterology & Hepatology.2021; 15(4): 447. CrossRef - Screening colonoscopy: The present and the future
Chelsea V Hayman, Dinesh Vyas
World Journal of Gastroenterology.2021; 27(3): 233. CrossRef - Transparent cap‐assisted, water‐exchange colonoscopy in previous incomplete difficult colonoscopy patients: A retrospective study
Lien‐Fu Lin, Pi‐Teh Huang
Advances in Digestive Medicine.2020; 7(3): 118. CrossRef - Can water insufflation and carbon dioxide overcome the difficulties of colonoscope insertion?
Choong-Kyun Noh, Kee Myung Lee
Intestinal Research.2018; 16(2): 166. CrossRef
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The role of capsule endoscopy in etiological diagnosis and management of obscure gastrointestinal bleeding
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Vikas Pandey, Meghraj Ingle, Nilesh Pandav, Pathik Parikh, Jignesh Patel, Aniruddha Phadke, Prabha Sawant
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Intest Res 2016;14(1):69-74. Published online January 26, 2016
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DOI: https://doi.org/10.5217/ir.2016.14.1.69
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Abstract
PDFPubReaderePub
- <b>Background/Aims</b><br/>
To investigate the various etiologies, yields, and effects of capsule endoscopy (CE) on management and complications, along with follow up of patients with obscure gastrointestinal (GI) bleeding. MethodsThe study group of patients included those having obscure, overt, or occult GI bleeding. The findings were categorized as (A) obvious/definitive, (B) equivocal, or (C) negative. Any significant alteration in patient management post CE in the form of drug or surgical intervention was noted. ResultsTotal patients included in the study were 68 (48 males and 20 females). The ratio of male:female was 2.4:1. The age ranged between 16 years to 77 years. Mean age for males was 62±14 years, for females 58±16 years. The total yield of CE with definitive lesions was in 44/68 (65.0%) of patients. In descending order (A) angiodysplasia 16/68 (23.53%), (B) Crohn's disease 10/68 (14.70%), (C) non-steroidal anti-inflammatory drug enteropathy 8/68 (11.76%), (D) small bowel ulcers 4/68 (5.88%), (E) jejunal and ileal polyps 2/68 (2.94%), (F) intestinal lymphangiectasis 2/68 (2.94%), and (G) ileal hemangiomas 2/68 (2.94%) were followed. Equivocal findings 12/68 (17.65%) and negative study 12/68 (17.65%) was found. Complications in the form of capsule retention in the distal ileum were noted in 2/68 (2.94%) subjects. Statistically, there was a higher probability of finding the etiology if the CE was done during an episode of bleeding. ConclusionsCE plays an important role in diagnosing etiologies of obscure GI bleeding. Its role in influencing the management outcome is vital.
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Citations
Citations to this article as recorded by - Capsule endoscopy for obscure gastrointestinal bleed in the tropics: A single-center experience on 350 patients
Uday C. Ghoshal, Piyush Mishra, Akash Mathur, Sai Prathap Reddy, Bushra Fatima, Asha Misra
Indian Journal of Gastroenterology.2024; 43(5): 1045. CrossRef - Capsule endoscopy for small bowel bleed: Current update
Uday C. Ghoshal, Akash Roy, Mahesh K. Goenka
Indian Journal of Gastroenterology.2024; 43(5): 896. CrossRef - An intelligent intestinal bleeding diagnosis and treatment capsule system based on color recognition
Panpan Qiao, Luo Yu, Hongying Liu, Xueping Yan, Xitian Pi
Biomedical Microdevices.2023;[Epub] CrossRef - Systematic review and meta‐analysis of the diagnostic and therapeutic yield of small bowel endoscopy in patients with overt small bowel bleeding
Genta Uchida, Masanao Nakamura, Takeshi Yamamura, Kazuhiro Furukawa, Hiroki Kawashima, Takashi Honda, Masatoshi Ishigami, Mitsuhiro Fujishiro
Digestive Endoscopy.2021; 33(1): 66. CrossRef - Comparison in the Diagnostic Yield between “Pillcam SB3” Capsule Endoscopy and “OMOM Smart Capsule 2” in Small Bowel Bleeding: A Randomized Head-to-Head Study
Gerardo Blanco-Velasco, Raúl Antonio Zamarripa-Mottú, Omar Michel Solórzano-Pineda, Miguel Mascarenhas-Saraiva, Juan Manuel Blancas-Valencia, Oscar Victor Hernández-Mondragón
Digestive Diseases.2021; 39(3): 211. CrossRef - Heterotopia de mucosa gástrica en intestino delgado, hallazgo en videocápsula endoscópica. Reporte de caso
Santiago Castaño, Natalia Calvache, Mauricio Sepúlveda
Revista Colombiana de Gastroenterología.2019; 34(3): 314. CrossRef - Meta-analysis shows similar re-bleeding rates among Western and Eastern populations after index video capsule endoscopy
Georgios Tziatzios, Paraskevas Gkolfakis, Cesare Hassan, Ervin Toth, Angelo Zullo, Anastasios Koulaouzidis, George D. Dimitriadis, Konstantinos Triantafyllou
Digestive and Liver Disease.2018; 50(3): 226. CrossRef - Lanreotide in the management of small bowel angioectasias: seven-year data from a tertiary centre
S. Chetcuti Zammit, D. S. Sanders, R. Sidhu
Scandinavian Journal of Gastroenterology.2017; : 1. CrossRef - Role of capsule endoscopy in suspected or established Crohn's disease in real practice
Hyun Joo Jang
Intestinal Research.2017; 15(4): 431. CrossRef - The Role of Dynamic Contrast-enhanced Multidetector-row Computed Tomography in Diagnosis of Obscure Gastrointestinal Bleeding
Jee Hyun Kim, Jong Pil Im
The Korean Journal of Gastroenterology.2016; 67(4): 165. CrossRef
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