Gastrointestinal Endoscopy
Volume 69, Issue 3, Part 1 , Pages 551-553 , March 2009

Water-assisted unsedated colonoscopy: does the end justify the means?

References 

  1. Seeff LC, Manninen DL, Dong FB, et al. Is there endoscopic capacity to provide colorectal cancer screening to the unscreened population in the United States?. Gastroenterology. 2004;127:1661–1669
  2. Zamir S, Rex DK. An initial investigation of efficiency in endoscopy delivery. Am J Gastroenterol. 2002;97:1968–1972
  3. Singh H, Poluha W, Cheung M, et al. Propofol for sedation during colonoscopy. Cochrane Database Syst Rev. 2008;CD006268
  4. Chen LA, Santos S, Jandorf L, et al. A program to enhance completion of screening colonoscopy among urban minorities. Clin Gastroenterol Hepatol. 2008;6:443–450
  5. Rex DK, Petrini JL, Baron TH, et al. Quality indicators for colonoscopy. Am J Gastroenterol. 2006;101:873–885
  6. Del Rio AS, Baudet JS, Fernandez OA, et al. Evaluation of patient satisfaction in gastrointestinal endoscopy. Eur J Gastroenterol Hepatol. 2007;19:896–900
  7. Leung FW. Unsedated colonoscopy introduced to ensure access is acceptable to a subgroup of veterans. Dig Dis Sci. 2008;53:2719–2722
  8. Rex DK, Imperiale TF, Portish V. Patients willing to try colonoscopy without sedation: associated clinical factors and results of a randomized controlled trial. Gastrointest Endosc. 1999;49:554–559
  9. Faulx AL, Vela S, Das A, et al. The changing landscape of practice patterns regarding unsedated endoscopy and propofol use: a national Web survey. Gastrointest Endosc. 2005;62:9–15
  10. Thiis-Evensen E, Hoff GS, Sauar J, et al. Patient tolerance of colonoscopy without sedation during screening examination for colorectal polyps. Gastrointest Endosc. 2000;52:606–610
  11. Conigliaro R, Rossi A. Implementation of sedation guidelines in clinical practice in Italy: results of a prospective longitudinal multicenter study. Endoscopy. 2006;38:1137–1143
  12. Leung JW, Mann S, Leung FW. Options for screening colonoscopy without sedation: a pilot study in United States veterans. Aliment Pharmacol Ther. 2007;26:627–631
  13. Leung FW, Aharonian HS, Leung JW, et al. Impact of a novel water method on scheduled unsedated colonoscopy in U.S. veterans. Gastrointest Endosc. 2009;69:546–550
  14. Leung FW, Mann SK, Salera R, et al. Options for screening colonoscopy without sedation: sequel to a pilot study in U.S. veterans. Gastrointest Endosc. 2008;67:712–717
  15. Leung FW. Water-related techniques for performance of colonoscopy. Dig Dis Sci. 2008;53:2847–2850
  16. Church JM. Warm water irrigation for dealing with spasm during colonoscopy: simple, inexpensive, and effective. Gastrointest Endosc. 2002;56:672–674
  17. Hamamoto N, Nakanishi Y, Morimoto N, et al. A new water instillation method for colonoscopy without sedation as performed by endoscopists-in-training. Gastrointest Endosc. 2002;56:825–828
  18. Lieberman DA, Weiss DG, Bond JH, et al. Use of colonoscopy to screen asymptomatic adults for colorectal cancer. Veterans Affairs Cooperative Study Group 380. N Engl J Med. 2000;343:162–168

PII: S0016-5107(08)02842-3

doi: 10.1016/j.gie.2008.10.045

Gastrointestinal Endoscopy
Volume 69, Issue 3, Part 1 , Pages 551-553 , March 2009