Diagnostic and therapeutic applications of water-immersion colonoscopy

作     者：Shinya Sugimoto Takeshi Mizukami 

作者机构：Division of Gastroenterology and HepatologyDepartment of Internal MedicineKeio University School of Medicine Endoscopy CenterNHO Kurihama Medical and Addiction Center 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2015年第21卷第21期

页      面：6451-6459页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Colonoscopy Water immersion Waterexchange Underwater Unsedated Sigmoid volvulus Detorsion Polypectomy Gastrointestinal bleeding Irritable bowel syndrome 

摘      要：Colonoscopy techniques combining or replacing air insufflation with water infusion are becoming *** were originally designed to reduce colonic spasms,facilitate cecal intubation,and lower patient discomfort and the need for *** maneuvers straighten the rectosigmoid colon and enable the colonoscope to be inserted deeply without causing looping of the ***-immersion colonoscopy minimizes colonic distension and improves visibility by introducing a small amount of *** addition,since pain during colonoscopy indicates risk of bowel perforation and sedation masks this important warning,this method has the potential to be the favored insertion technique because it promotes patient safety without ***,this water-immersion method has not only been used for colonoscope insertion,but has also been applied to therapy for sigmoid volvulus,removal of lesions,lower gastrointestinal bleeding,and therapeutic diagnosis of abnormal bowel morphology and irritable bowel *** a larger sample size and prospective head-to-head-designed studies will be needed,this review focuses on the usefulness of waterimmersion colonoscopy for diagnostic and therapeutic applications.