Lubrication during colonoscopy: A forgotten factor

Sedation during colonoscopy and the benefits of lubrication

“…Moreover, important additional factors are, in our opinion, substances and methods of lubrications, rarely considered by endoscopists, 6 although favourable effects have been demonstrated 7–9 . In this respect, it is noteworthy that a warm water infusion through the instrument was carried out during colonoscopy in the study by Leung et al.…”

“…Indeed, several factors can affect pain, difficulties and completion rates in colonoscopy and thus directly influence the need for sedation. These mainly concern the endoscopists (their experience and skillfullness), 4 patients (sex, age, diverticulosis, previous abdominal surgery, long‐standing colitis and individual perception of pain) 5 and instruments (special types and working conditions) 6 …”

“…These mainly concern the endoscopists (their experience and skillfullness), 4 patients (sex, age, diverticulosis, previous abdominal surgery, long-standing colitis and individual perception of pain) 5 and instruments (special types and working conditions). 6 Moreover, important additional factors are, in our opinion, substances and methods of lubrications, rarely considered by endoscopists, 6 although favourable effects have been demonstrated. [7][8][9] In this respect, it is noteworthy that a warm water infusion through the instrument was carried out during colonoscopy in the study by Leung et al 1 Lubricating methods and substances, reducing friction between the scope and the colonic mucosa, may substantially help in performing examinations.…”