ArticleJournal of interventional gastroenterology2011
Feasibility of colonoscopy with water infusion in minimally sedated patients in an Asian Community Setting.
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. Cited by 16 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- EFFICACY OF WATER INFUSION VERSUS AIR/CO2 INSUFFLATION FOR COLONOSCOPY: A SYSTEMATIC REVIEW AND META-ANALYSIS.Arquivos de gastroenterologia · 2026Pooled it
- Water infusion versus air insufflation for colonoscopy.The Cochrane database of systematic reviews · 2015Pooled it
- Water infusion versus air insufflation for colonoscopy: a meta-analysis of randomized controlled trials.Techniques in coloproctology · 2013Pooled it
- Is water exchange superior to water immersion in detecting adenomas during colonoscopies? Results from a Bayesian network meta-analysis.Oncotarget · 2018Article
- Endoscope-connected water pump with high flow rates improves the unsedated colonoscopy performance by water immersion method.Clinical and experimental gastroenterology · 2018Article
- Approach to Incomplete Colonoscopy: New Techniques and Technologies.Gastroenterology & hepatology · 2017Article
- Water-Assisted Colonoscopy.Current treatment options in gastroenterology · 2017Review
- Painless Colonoscopy: Available Techniques and Instruments.Clinical endoscopy · 2016Review
- Diagnostic and therapeutic applications of water-immersion colonoscopy.World journal of gastroenterology · 2015Review
- Response to Feuerstein.The American journal of gastroenterology · 2015Article
- Endoscopic innovations to increase the adenoma detection rate during colonoscopy.World journal of gastroenterology · 2014Review
- Water exchange method for colonoscopy: learning curve of an experienced colonoscopist in a U.S. community practice setting.Journal of interventional gastroenterology · 2012Article
- The water exchange method for colonoscopy-effect of coaching.Journal of interventional gastroenterology · 2012Article
- 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
- 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.Journal of interventional gastroenterology · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInvestigators in the US described large volume water infusion with marked benefits but acknowledged the limitation of male veteran predominance in the study subjects. The aim of this study was to assess the feasibility of large volume water infusion in Asian patients undergoing minimal sedation diagnostic colonoscopy in a community setting.
methodsConsecutive patients who underwent colonoscopy were randomized to receive large volume (entire colon) (Group A, n=51), limited volume (rectum and sigmoid colon) (Group B, n=51) water infusion, or air insufflation (Group C, n=51). Pain during insertion, completion rate, cecal intubation and total procedure times, and patient satisfaction were evaluated. Pain and satisfaction were assessed with a 0-10 visual analog scale.
resultsThe mean pain scores during insertion were lower in the Group A and Group B than in Group C, 3.3±2.4, 3.0±2.2 and 4.4±2.6, respectively (p=0.028 and p=0.004). The completion rates and cecal intubation times were similar among the three groups. The procedure time was significantly longer in Group A than in group C (15.3±5.9 min vs. 13.1±5.4 min, p=0.049). Overall satisfaction with the procedure was greater in Group B than in Group C only (9.7±0.5 vs. 9.4±0.8, p=0.044).
conclusionsDiagnostic colonoscopy with large volume water infusion without air insufflation appears to be feasible in minimally sedated Asian patients in a community setting. Measures to improve the outcome further are discussed.
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.