Evidence map›Paper›PMID 42060596›Full record

Trial reportPloS one2026

Perianal lidocaine application during unsedated colonoscopy: A double-blind randomized controlled trial.

Jiankun Wang, Yuwen Tao, Rui Wu, Lili Zhao, Li Liu, Zhining Fan, Wentao Fan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Jiankun WangDepartment of Geriatric Gastroenterology, the First Affiliated Hospital with Nanjing Medical University & Jiangsu Province Hospital, Nanjing, China.ORCID https://orcid.org/0009-0006-9956-8377
Yuwen TaoDepartment of Geriatric Gastroenterology, the First Affiliated Hospital with Nanjing Medical University & Jiangsu Province Hospital, Nanjing, China.
Rui WuDepartment of Geriatric Gastroenterology, the First Affiliated Hospital with Nanjing Medical University & Jiangsu Province Hospital, Nanjing, China.
Lili ZhaoDepartment of Geriatric Gastroenterology, the First Affiliated Hospital with Nanjing Medical University & Jiangsu Province Hospital, Nanjing, China.
Li LiuDepartment of Geriatric Gastroenterology, the First Affiliated Hospital with Nanjing Medical University & Jiangsu Province Hospital, Nanjing, China.
Zhining FanDepartment of Geriatric Gastroenterology, the First Affiliated Hospital with Nanjing Medical University & Jiangsu Province Hospital, Nanjing, China.
Wentao FanDepartment of Geriatric Gastroenterology, the First Affiliated Hospital with Nanjing Medical University & Jiangsu Province Hospital, Nanjing, China.ORCID https://orcid.org/0009-0007-0178-5195

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsnsedated colonoscopy is often associated with patient discomfort and may increase procedural difficulty for endoscopists. This study aimed to investigate the influence of perianal lidocaine application on the comfort level of patients and endoscopic operations during unsedated colonoscopy.

methods122 patients aged 18-40 years were enrolled and randomly allocated to colonoscopy with 2% lidocaine (experiment group, n = 61) or normal saline (control, n = 61) smeared around the anus. The primary outcomes were anal pain score and abdominal pain score during and after colonoscopy, assessed using a visual analogue scale (VAS). Secondary outcomes included cecal intubation time, polyp detection rate, adenoma detection rate, and adverse events.

resultsThere was no statistical difference between groups in terms of abdominal pain scores during unsedated colonoscopy. Abdominal pain scores after colonoscopy were significantly lower in the lidocaine group than in the saline group. (P < 0.001). However, the lidocaine group had significantly lower anal pain scores during and after colonoscopy (P < 0.001) and a shorter cecal intubation time (P < 0.001). Polyp and adenoma detection rates were higher in the lidocaine group (P < 0.05). Junior endoscopists achieved greater improvements in these outcomes compared to senior endoscopists.

conclusionPerianal application of lidocaine may reduce anal pain and may improve procedural efficiency during unsedated colonoscopy, particularly among junior endoscopists.

Indexed as

Anal CanalAnesthetics, LocalColonoscopyLidocaineAbdominal PainAdolescentAdultDouble-Blind MethodFemaleHumansMalePain MeasurementYoung AdultAnesthetics, LocalLidocaine

Identifiers

PMID42060596
PMCPMC13132189

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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.