Gastrointestinal Endoscopy
Volume 56, Issue 2 , Pages 190-194 , August 2002

Minimizing postcolonoscopy abdominal pain by using CO2 insufflation: A prospective, randomized, double blind, controlled trial evaluating a new commercially available CO2 delivery system

Presented in part at Digestive Disease Week, May 20-23, 2001, Atlanta, Georgia (Gastrointest Endosc 2001;53:AB76).

Received 6 September 2001 ,Revised 20 November 2001 ,Accepted 12 December 2001.

References 

  1. Stevenson GW, Wilson JA, Wilkinson J, Norma G, Goodacre RL. Pain following colonoscopy: elimination with carbon dioxide. Gastrointest Endosc. 1992;38:564–567
  2. Newcomer MK, Shaw MJ, Williams DM, Jowell PS. Unplanned work absence following outpatient colonoscopy. J Clin Gastroenterol. 1999;29:76–78
  3. Coblentz CL, Frost RA, Molinaro V, Stevenson GW. Pain after barium enema: effect of CO2 and air on double-contrast study. Radiology. 1985;157:35–36
  4. Rogers BHG. Carbon dioxide for colonoscopy. Gastroenterology. 1980;78:1659–1660
  5. Macrae FA, Tan KG, Williams CB. Towards safer colonoscopy: a report on the complications of 5000 diagnostic or therapeutic colonoscopies. Gut. 1983;24:376–383
  6. Rogers BH. The safety of carbon dioxide insufflation during colonoscopic electrosurgical polypectomy. Gastrointest Endosc. 1974;20:115–117
  7. Williams CB. Who's for CO2?. Gastrointest Endosc. 1986;32:365–367
  8. Brandt LJ, Boley SJ, Sammartano R. Carbon dioxide and room air insufflation of the colon: effects on colonic blood flow and intraluminal pressure in the dog. Gastrointest Endosc. 1986;32:324–329
  9. Silva A, Ho HS, Mathiesen KA, Wolfe BM. Endoscopy during laparoscopy. Reduced post-procedural bowel distention with intraluminal CO2 insufflation. Surg Endosc. 1999;13:662–667
  10. Phaosawasdi K, Cooley W, Wheeler J, Rice P. Carbon dioxide-insufflated colonoscopy: an ignored superior technique. Gastrointest Endosc. 1986;32:330–333
  11. Brown AL, Skehan SJ, Greaney T, Rawlinson J, Somers S, Stevenson GW. Value of double-contrast barium enema performed immediately after incomplete colonoscopy. Am J Radiol. 2001;176:943–945
  12. Chak A, Cooper GS, Blades EW, Canto M, Sivak MV. Prospective assessment of colonoscopic intubation skills in trainees. Gastrointest Endosc. 1996;44:54–57
  13. Marshall JB, Barthel JS. The frequency of total colonoscopy and terminal ileal intubation in the 1990s. Gastrointest Endosc. 1993;39:518–520
  14. Odori T, Goto H, Arisawa T, Niwa Y, Ohmiya N, Hayakawa T. Clinical results and development of variable-stiffness video colonoscopes. Endoscopy. 2001;33:65–69
  15. Cirocco WC, Rusin LC. Factors that predict incomplete colonoscopy. Dis Colon Rectum. 1995;38:964–968
  16. Williams CB, Macrae FA, Bartram CI. A prospective study of diagnostic methods in adenoma follow-up. Endoscopy. 1982;14:74–78
  17. Marshall JB, Hoyt TS, Seger RM, Reid JC, Beyer KL, Butt JH. Air-contrast barium enema studies after flexible sigmoidoscopy: randomized controlled clinical trial. Radiology. 1990;176:549–551
  18. Hussein AMJ, Bartram CI, Williams CB. Carbon dioxide insufflation for more comfortable colonoscopy. Gastrointest Endosc. 1984;30:68–70
  19. Laufer I. Double contrast enema: technical aspects. In: 2nd ed.  Laufer I,  Levine MS editor. Double contrast gastrointestinal radiology. Philadelphia: WB Saunders; 1992;p. 432
  20. Waye JD, Lewis BS, Yessayan S. Colonoscopy: a prospective report of complications. J Clin Gastroenterol. 1992;15:347–351

 Reprint requests: Professor Richard H. Hunt, MD, Division of Gastroenterology, McMaster University Medical Center, 1200 Main St. West, Hamilton, Ontario, Canada L8N 3Z5.

PII: S0016-5107(02)70176-4

Gastrointestinal Endoscopy
Volume 56, Issue 2 , Pages 190-194 , August 2002