ArticleJournal of interventional gastroenterology2012
Water exchange method for colonoscopy: learning curve of an experienced colonoscopist in a U.S. community practice setting.
Article in Journal of interventional gastroenterology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07456007 (A Patient Blinded, Randomized, Controlled Trial Comparing Right Colon Adenoma Detection Rate in Colonoscopy Using Right Colon Water Exchange and Traditional Air Insufflation), which is not on this map. Cited by 7 papers.
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.
A Patient Blinded, Randomized, Controlled Trial Comparing Right Colon Adenoma Detection Rate in Colonoscopy Using Right Colon Water Exchange and Traditional Air Insufflation
Who cites it
7 citing papers in PubMed, 18 citations in OpenAlex.
- Water Exchange Method Significantly Improves Adenoma Detection Rate: A Multicenter, Randomized Controlled Trial.The American journal of gastroenterology · 2017Trial
- Can Water Exchange Improve Patient Tolerance in Unsedated Colonoscopy A Prospective Comparative Study.GE Portuguese journal of gastroenterology · 2018Article
- Water-Assisted Colonoscopy.Current treatment options in gastroenterology · 2017Review
- Evidence to suggest adoption of water exchange deserves broader consideration: Its pain alleviating impact occurs in 90% of investigators.World journal of gastrointestinal endoscopy · 2016Article
- What Influences the Quality of Prevention Colonoscopy?Viszeralmedizin · 2014Review
- Re-learning colonoscopy: just a matter of time.Journal of interventional gastroenterology · 2012Article
- 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
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWater exchange colonoscopy has been reported to reduce examination discomfort and to provide salvage cleansing in unsedated or minimally sedated patients. The prolonged insertion time and perceived difficulty of insertion associated with water exchange have been cited as a barrier to its widespread use.
aimTo assess the feasibility of learning and using the water exchange method of colonoscopy in a U.S. community practice setting.
settingQuality improvement program in nonacademic community endoscopy centers. SUBJECTS: Patients undergoing sedated diagnostic, surveillance, or screening colonoscopy.
methodsAfter direct coaching by a knowledgeable trainer, an experienced colonoscopist initiated colonoscopy using the water method. Whenever >5 min elapsed without advancing the colonoscope, conversion to air insufflation was made to ensure timely completion of the examination. PRIMARY OUTCOME: Water Method Intention-to-treat (ITT) cecal intubation rate (CIR).
resultsFemale patients had a significantly higher rate of past abdominal surgery and a significantly lower ITTCIR. The ITTCIR showed a progressive increase over time in both males and females to 85-90%. Mean insertion time was maintained at 9 to 10 min. The overall CIR was 99%.
conclusionUse of water exchange did not preclude cecal intubation upon conversion to usual air insufflation in sedated patients examined by an experienced colonoscopist. With practice ITTCIR increased over time in both male and female patients. Larger volumes of water exchanged were associated with higher ITTCIR and better quality scores of bowel preparation. The data suggest that learning water exchange by a busy colonoscopist in a community practice setting is feasible and outcomes conform to accepted quality standards.
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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.