A pilot study of endoluminal US for stool liquefaction

Hernandez, Lyndon V.; Triadafilopoulos, George; Kost, Joseph; Ganz, Robert A.; Fleshman, Shane; Klyve, Dominic; Ton, Martin; Lewis, George K.

doi:10.1016/j.gie.2013.11.012

Cited by 1 publication

(1 citation statement)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The JetPrep device is a similar disposable through-the-scope system (JetPrep Ltd., Herzliya, Israel) [ 19 , 20 ] which allows rinsing of the colon with predefined pressure and flow rates. Another interesting and innovative approach is the liquefying of stool through application of endoluminal ultrasound; however, it yet resides in the phase of an animal model [ 21 ]. All these additional systems are naturally more time-consuming, and clinical experience and evaluations in comparison with other procedures are lacking, both as a single and an additional procedure.…”

Section: New Colonoscopy Methodsmentioning

confidence: 99%

What Influences the Quality of Prevention Colonoscopy?

Schmidt-Tänzer

Eickhoff

2014

Visc Med

View full text Add to dashboard Cite

KeywordsColonoscopy · Colonoscopy methods · Water-aided colonoscopy · Cap-assisted colonoscopy · Carbon dioxide insufflation · Colorectal neoplasms · Mass screening Summary Background: Colorectal cancer still has a high incidence and mortality. Although colonoscopy is considered as gold standard of colorectal cancer screening, there still exists an unsatisfactory level of adenomas missed in screening and surveillance colonoscopy. Furthermore, patients bear the burden of potentially unpleasant and painful examination and preparation procedures. Method: A search of the literature using PubMed was carried out, supplemented by a review of the programs of the Digestive Disease Week (DDW) and the United European Gastroenterology Week (UEGW) 2011-2013. Results: Several new approaches to colonoscopy were described: water, CO 2 and cap colonoscopy, and application of spasmolytics such as hyoscine butylbromide and glucagon. The use of these methods does not necessitate the purchase of new endoscopes. They are feasible and safe, facilitate achieving the aim of more comfort and less pain, and perhaps allow lower doses of sedatives to be used. However, a clear effect on procedure time is lacking. Furthermore, the published data do not consistently answer the question of whether these techniques have a positive impact on the most important goal, the better detection of carcinoma precursors. Conclusion: More efforts to optimize bowel preparation have to be made to improve visualization of the mucosal surface. The most reliable criteria for the quality of screening and surveillance colonoscopy remain a minimum cecal intubation rate of >90%, a withdrawal time of at least 6 or better 9 min, and an adenoma detection rate of >20%. These results should be achieved with a complication rate lower than 1%, including polypectomy. Schlüsselwörter

show abstract

Section: New Colonoscopy Methodsmentioning

confidence: 99%