ArticleJournal of interventional gastroenterology2011
Removal of infused water predominantly during insertion (water exchange) is consistently associated with a greater reduction of pain score - review of randomized controlled trials (RCTs) of water method colonoscopy.
Article in Journal of interventional gastroenterology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Comparing Air Insufflation, Water Immersion and Water Exchange Methods During Minimal Sedated Colonoscopy, a Randomized, Controlled Trial
Comparative Efficacy of Water & Indigo Carmine vs Water or Air Method
Water Exchange Versus Carbon Dioxide Insufflation to Improve Colonoscopy Screening - a Randomized Controlled Trial
A Randomized, Controlled Trial Comparing Air Insufflation, Water Immersion and Water Exchange During on Demand Sedation Colonoscopy in CRC Screening Patients
A Randomized, Controlled Trial Comparing Air Insufflation, Water Immersion and Water Exchange During on Demand Sedation Colonoscopy in Diagnostic Patients
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Diagnostic application of water exchange colonoscopy: A meta-analysis of randomized controlled trials.The Journal of international medical research · 2019Pooled it
- Is water exchange superior to water immersion for colonoscopy? A systematic review and meta-analysis.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology AssociationPooled it
- Clinical value of sigmoid colon water exchange colonoscopy: a prospective randomized clinical trial.Scientific reports · 2023Trial
- The WASh Trial: water-assisted sigmoidoscopy in the English Bowel Scope Screening Programme: study protocol for a randomized multicenter trial.Endoscopy international open · 2019Article
- Is water exchange superior to water immersion in detecting adenomas during colonoscopies? Results from a Bayesian network meta-analysis.Oncotarget · 2018Article
- Impact of water exchange colonoscopy on serum sodium and potassium levels: an observational study.Digestive diseases and sciences · 2014Observational
- Magnetic endoscope imaging (ScopeGuide) elucidates the mechanism of action of the pain-alleviating impact of water exchange colonoscopy - attenuation of loop formation.Journal of interventional gastroenterology · 2012Article
- The water exchange method and difficult colonoscopy.Journal of interventional gastroenterology · 2012Article
- The water exchange method for colonoscopy-effect of coaching.Journal of interventional gastroenterology · 2012Article
- Can old dogs learn new tricks?Journal of interventional gastroenterology · 2012Article
- Water exchange method for colonoscopy: learning curve of an experienced colonoscopist in a U.S. community practice setting.Journal of interventional gastroenterology · 2012Article
- Colonoscopy: Reducing faecal incontinence following colonoscopy.Nature reviews. Gastroenterology & hepatology · 2012Article
- Unsedated colonoscopy: A neverending story.World journal of gastrointestinal endoscopy · 2012Article
- Prevalence and predictors of interval colorectal cancers - what hypotheses should colonoscopists consider in planning studies to modify the undesirable outcome.Annals of gastroenterology · 2012Article
- Feasibility of colonoscopy with water infusion in minimally sedated patients in an Asian Community Setting.Journal of interventional gastroenterology · 2011Article
- The water method - untapped potential in extended flexible sigmoidoscopy for colorectal cancer screening?Journal of interventional gastroenterology · 2011Article
- Removal of infused water predominantly during insertion (water exchange) is consistently associated with an increase in adenoma detection rate - review of data in randomized controlled trials (RCTs) of water-related methods.Journal of interventional gastroenterology · 2011Article
- Increase your adenoma detection rate without using fancy adjunct tools.Tzu chi medical journalReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionVariation in the outcomes in RcTs comparing water-related methods and air insufflation during the insertion phase of colonoscopy raises challenging questions regarding the approach. This report reviews the impact of water exchange on the variation in attenuation of pain during colonoscopy by water-related methods.
methodsMedline (2008 to 2011) searches, abstracts of the 2011 Digestive Disease Week (DDW) and personal communications were considered to identify RcTs that compared water-related methods and air insufflation to aid insertion of the colonoscope. Results: Since 2008 nine published and one submitted RcTs and five abstracts of RcTs presented at the 2011 DDW have been identified. Thirteen RcTs (nine published, one submitted and one abstract, n=1850) described reduction of pain score during or after colonoscopy (eleven reported statistical significance); the remaining reports described lower doses of medication used, or lower proportion of patients experiencing severe pain in colonoscopy performed with water-related methods compared with air insufflation (Tables 1 and 2). The water-related methods notably differ in the timing of removal of the infused water - predominantly during insertion (water exchange) versus predominantly during withdrawal (water immersion). Use of water exchange was consistently associated with a greater attenuation of pain score in patients who did not receive full sedation (Table 3).
conclusionThe comparative data reveal that a greater attenuation of pain was associated with water exchange than water immersion during insertion. The intriguing results should be subjected to further evaluation by additional RcTs to elucidate the mechanism of the pain-alleviating impact of the water method.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.