Colonoscope Insertion: Is the Future Underwater

Siau, Keith; Cadoni, Sergio

doi:10.1159/000485038

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2018

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(2 citation statements)

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“…WAC can be performed by existing colonoscopists using standard equipment but requires motivation and modification of existing technique 20. Water insufflation can hamper luminal views on intubation and requires precise suctioning technique and tip control fluency.…”

Section: Discussionmentioning

confidence: 99%

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My approach to water-assisted colonoscopy

Siau

Beintaris

2018

Frontline Gastroenterol

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The goal of diagnostic colonoscopy is to achieve procedural completion while maximising effectiveness, patient acceptance and safety. In recent years, international interest in water-assisted colonoscopy (WAC) has been steadily gathering pace. A plethora of high-quality randomised controlled trials and meta-analyses now offer incontrovertible evidence into the benefits of WAC, both for the endoscopist and the patient. Despite this, uptake of WAC within the UK has been limited, with the lack of educational resources representing a significant barrier. This practical step-by-step guide is aimed at both existing practitioners and trainees, with a view to promoting familiarity with WAC and potentially for incorporation into daily practice which may ultimately have a positive effect on quality of colonoscopy and patient experience.

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Section: Discussionmentioning

confidence: 99%

“…On withdrawal, ensure adherence to the ≥6 min (ideally ≥10 min) withdrawal time 16. The cleaner views afforded by WE will minimise the need for washing mucosa, allowing focus on polyp detection 20. Nevertheless, all residual faecal coating should be washed which may uncover sessile serrated lesions.…”

Section: Withdrawalmentioning

confidence: 99%