Water Infusion for Cecal Intubation Increases Patient Tolerance, but not Intubation in Unsedated Colonoscopy

Researchers found water infusion for cecal intubation improves patient tolerance but does not improve the cecal intubation rate, according to findings published in the journal of Clinical Gastroenterology and Hepatology.

Researchers analyzed data from 116 outpatients who started colonoscopy without sedation. They were split into two groups and given water infusion or air insufflation. In the water group, 8.6 percent of patients requested sedation while 34.5 percent in the air group did. Maximum pain scores were also lower in the water group: 2.8 compared with 4.2.

In the water group, 74.1 percent of patients received a complete, unsedated colonoscopy, while 62.1 percent of patients in the air group did. However, the difference was not statistically significant. Researchers also found the percentage of successful cecal intubations was 96.5 percent in the air group and 82.8 percent in the water group. The lower rate was attributed to poor visibility. The cecal intubation time was shorter in the air group at 6.2 minutes compared to 8.1 minutes.

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