Patient Pain During Colonoscopy: An Analysis Using Real-Time Magnetic Endoscope Imaging

Sg, Shah; Jc, Brooker; Thapar, Catherine; Cb, Williams; Bp, Saunders

doi:10.1055/s-2002-31995

Cited by 128 publications

(97 citation statements)

References 16 publications

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“…In another study, looping of the colonoscope was more frequent (P = 0.0002) and the procedure was more painful (P = 0.0140) in women than in men (Shah et al, 2002). Detection of polyps and adenomas were lower in post-hysterectomy women compared to women without a hysterectomy (P= 0.008).…”

Section: Female Patientsmentioning

confidence: 95%

Preparing for Colonoscopy

Deepak¹,

Sifuentes²,

Sherid³

et al. 2011

Endoscopic Procedures in Colon and Rectum

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Endoscopic Procedures in Colon and Rectum 18 followed by repeated procedures. In a study of 200 consecutive outpatient colonoscopies, imperfect bowel preparation resulted in a 12% increase in costs at a university hospital and 22% increase in costs at a public hospital (Rex et al., 2002). Types of bowel preparationsThe ideal colon preparation should rapidly and reliably cleanse the colon of fecal material while having no effect on the gross or microscopic appearance of the colon (Wexner et al., 2006). It should require a short period for ingestion and evacuation, cause no discomfort, and produce no significant fluid or electrolyte shifts while also being palatable, simple, and inexpensive. Agents used for bowel preparation can be divided into three main categories according to their mechanism of action, these being isosmotic, hyperosmotic, and adjunctive preparations. Polyethylene glycol-electrolyte lavage solutions (PEG-ELSs) and sodium phosphate (NaP) formulations are among the most commonly used. 2.2

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Section: Female Patientsmentioning

confidence: 95%

Preparing for Colonoscopy

Deepak¹,

Sifuentes²,

Sherid³

et al. 2011

Endoscopic Procedures in Colon and Rectum

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“…Die Prävalenz wird mit 6,6-25% angegeben [3,16]. Die Koloskopie besitzt im Rahmen der differentialdiagnostischen Abklärung des RDS den höchsten Stellenwert und findet deshalb bereits in der Primärdiagnostik zunehmend breiten Einsatz [14,17] [17].…”

Section: Diskussionunclassified

“…Versuchsanordnung, durch die Darmdistension (bedingt durch Luftin-sufflation und Spreizung des Darms) sowie durch den Zug am Mesenterium bei der Endoskoppassage erklärt [1,14,20].…”

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Reizdarmsyndrom: Koloskopie schmerzhaft und schwierig?

Nattermann¹,

Fimmers

B³

2004

Med Klin

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“…The study correctly distinguishes between two dif- It is widely accepted that air or carbon dioxide insufflated into the colon quickly travels to the less dependent segments elongating the bowel and sharpening angulations and flexures, making the procedure more difficult and painful [1]. Most of the pain during colonoscope insertion is felt when negotiating the sigmoid colon and is often due to looping.…”

mentioning

confidence: 95%

“…Most of the pain during colonoscope insertion is felt when negotiating the sigmoid colon and is often due to looping. As the sigmoid is suspended in the abdominal cavity by the mesentery, the left lateral position results in the sigmoid being lengthened and pushed upwards, thereby accentuating its bends and facilitating loop formation [1,2]. ferent water-aided insertion techniques: water immersion and water exchange.…”

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confidence: 99%