Review comparing carbon dioxide with air insufflation in colonoscopy
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : B. Akan1, K. Sahora1, St. Riss1, H. Al-Mufti2, J. Karner-Hanusch1, F. A. Weiser2
- چاپ و سال / کشور: 2010
Description
Background: The aim of the present review was to compare carbon dioxide versus air insufflation in colonoscopy. Methods: All randomized controlled trials comparing carbon dioxide with air colonoscopy from 1952 to 2008 were reviewed using Pubmed. Results: Seven studies comprising 813 patients were summarized. Abdominal pain (p < 0.001), duration of pain (p < 0.05), and abdominal swelling (p < 0.005) after examination were significantly reduced by the use of carbon dioxide rather than air. There were no differences between the groups in the amount of pain during colonoscopy, the percentage of examinations that were complete, and the volume of insufflated gas. A slight elevation of pCO2 in the carbon dioxide group was registered but there was no rise in ETCO2 before, during, and after examination. On the contrary, reduction of the mean intervention time and used doses of analgesia in the carbon dioxide group have been discussed. Conclusions: Carbon dioxide is safe and reduces abdominal pain and discomfort after examination.
Eur Surg (2011) 43/1: 30–33 DOI 10.1007/s10353-010-0583-5 Received August 4, 2008; accepted after revision December 15, 2010
