We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Water immersion sigmoidoscopy versus standard insufflation for colorectal cancer screening: A cohort study.
- Authors
Calcara, Calcedonio; Aseni, Paolo; Siau, Keith; Gambitta, Pietro; Cadoni, Sergio
- Abstract
Background: Although the efficacy of water-assisted colonoscopy is well established, the role of water immersion sigmoidoscopy (WIS) remains unclear. We compared WIS with carbon dioxide insufflation sigmoidoscopy (CO2S) on patient outcomes. Methods: We conducted an analysis of prospectively collected data from a single-center quality improvement program about patients undergoing unsedated screening sigmoidoscopy (WIS and CO2S) between May 2019 and January 2020. Outcomes studied included the following: Rates of severe pain <17% (score of ≥7 on a numeric rating scale of 0–10, and on a Likert scale), willingness to repeat the procedure without sedation, adequate bowel cleanliness >75% (proportion of Boston Bowel Preparation Scale score: 2–3) and adenoma detection rate (ADR). Results: In total, 234 patients (111 WIS; 123 CO2S) were included. All patients were aged 58 years and 58.9% were female; baseline characteristics were comparable between groups. There were no significant differences in rates of severe pain (WIS: 16.5%, CO2S: 13.8%; P = 0.586), willingness to repeat the unsedated procedure (WIS: 82.3%, CO2S: 84.5%; P = 0.713), adequate bowel cleanliness (WIS: 78.4%, CO2S: 78%, P = 0.999) or ADR (WIS: 25.2%, CO2S: 16.3%; P = 0.106) between groups. However, average procedure times were longer with WIS (9.06 min) compared to CO2S (6.45 min; P < 0.001). Overall, 29.6% of women reported that they would repeat sigmoidoscopy only if sedated. Conclusions: WIS does not ameliorate tolerance to and quality of sigmoidoscopy screening measured by several scores. When offered a choice, the women's willingness to repeat WIS or CO2S without sedation was poor and raises concern on the opportunity of screening sigmoidoscopy without sedation in these subjects.
- Subjects
EVALUATION of medical care; IMMERSION in liquids; PAIN; PAIN measurement; ANESTHESIA; BOWEL preparation (Procedure); TIME; ADENOMA; EARLY detection of cancer; SURGICAL complications; SIGMOIDOSCOPY; INSUFFLATION; COLORECTAL cancer; COMPARATIVE studies; CARBON dioxide; QUALITY assurance; DESCRIPTIVE statistics; SCALE analysis (Psychology); REOPERATION; LONGITUDINAL method; EVALUATION
- Publication
Saudi Journal of Gastroenterology, 2022, Vol 28, Issue 1, p39
- ISSN
1319-3767
- Publication type
Article
- DOI
10.4103/sjg.sjg_198_21