Evidence map›Paper›PMID 24254340›Full record

Observational studyDigestive diseases and sciences2014

Impact of water exchange colonoscopy on serum sodium and potassium levels: an observational study.

Joseph W Leung, Rodelei Siao-Salera, Ovanes Abramyan, Surinder K Mann, Gregory Ward, Andrew Yen, Rebeck Gutierrez, Felix W Leung

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Digestive diseases and sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01607255 (Comparative Efficacy of Water & Indigo Carmine vs Water or Air Method), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 38% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT01607255 phase4completednot on this map

Comparative Efficacy of Water & Indigo Carmine vs Water or Air Method

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2013 to 2017Enrolled480ConditionsColorectal NeoplasmsArmsIndigo carmine, water (exchange) method, water (exchange) plus dye method, air method
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Joseph W LeungSection of Gastroenterology, 111G, Sacramento VA Medical Center, VANCHCS, 10535 Hospital Way, Mather, CA, 95655, USA, jwleung@ucdavis.edu.
Rodelei Siao-Salera
Ovanes Abramyan
Surinder K Mann
Gregory Ward
Andrew Yen
Rebeck Gutierrez
Felix W Leung
Sacramento VA Medical Center · USVA Northern California Health Care System · USUniversity of California Davis Medical Center · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConcerns over the hypothetical adverse effects of water absorption and the disturbance of serum sodium and potassium levels prompted a quality assurance evaluation of water exchange (WE) colonoscopy.

aimThe purpose of this study was to evaluate the balance of water infused and suctioned in WE colonoscopy, and to quantify the acute impact on serum levels of sodium and potassium.

methodsProspectively collected quality monitoring data of patients undergoing screening and surveillance colonoscopy at the Sacramento Veterans Affairs Medical Center were analyzed. Measurements were made of volume infused and suctioned during, and blood samples drawn 10 min before the start of and 10 min after completion of WE colonoscopy. Outcome measures included volume of water infused and suctioned, and serum levels of sodium and potassium.

resultsA total of 140 patients (134M:6F), mean age of 59, underwent WE colonoscopy. Mean total volume of water infused was 1,839 mL. A negative balance of an average of 22 mL was documented. The mean (standard deviation) values (in meq/L) of serum levels of sodium 139.33 (2.27) and 139.28 (2.32), and potassium 3.86 (0.36) and 3.91 (0.39), before and after colonoscopy, respectively, showed no significant change.

conclusionThe WE method allowed most of the water infused during colonoscopy to be recovered by suction at the completion of colonoscopy. Serum sodium and potassium levels did not change significantly within 10 min after completion. The WE method appears to be safe with minimal water retention and is devoid of acute fluctuations in serum levels of sodium and potassium.

Indexed as

WaterBiomarkersColonoscopyFemaleHumansMaleMiddle AgedPotassiumProspective StudiesQuality Assurance, Health CareSodiumBiomarkersPotassiumSodiumWater

Identifiers

PMID24254340
OpenAlexW2046486321

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.