Carbon dioxide insufflation can significantly reduce toilet use after colonoscopy: a double-blind randomized controlled trial

Abstract

Insufflation with CO2 can significantly reduce abdominal discomfort and toilet use after colonoscopy. Use of this technique may help reduce patient burden and allow more efficient use of space in the endoscopy unit.

Bayesian network meta‐analysis: Efficacy of air insufflation, CO2 insufflation, water exchange, and water immersion in colonoscopy

“…Forty RCT with 13 734 patients were included from 1060 articles searched through databases and other sources (Fig. ).…”

“…Twenty‐three studies focused on the analysis regarding cecal intubation time. According to our analysis, we did not get any significant results on cecal intubation time.…”

Carbon dioxide insufflation during colonoscopy can significantly decrease post‐interventional abdominal discomfort in deeply sedated patients: A prospective, randomized, double‐blinded, controlled trial

“…This is because CO 2 is absorbed by the bowel lumen rapidly. Hsu et al 10 demonstrated a reduction in the frequency and total duration of toilet use in the first 2 h after colonoscopy with CO 2 insufflation. This indicated that absorption of CO 2 is more rapid than that of room air, and the majority of CO 2 volume is absorbed in the early stage after colonoscopy.…”

“…3,[5][6][7]12 However, there are limited reports about CO 2 insufflation during colonoscopy in deeply sedated patients. 8,10,[13][14][15] The aims of the present study were to investigate the subjective and objective efficacy of CO 2 insufflation in reducing postprocedural abdominal discomfort, evaluation of patients' satisfaction after colonoscopy, and assessment the safety of CO 2 insufflation during colonoscopy in patients deeply sedated with propofol.…”

Autonomic nervous responses in colorectal polypectomy: Randomized controlled trial comparing air and carbon dioxide insufflation

“…Recently, several clinical reports of CO 2 insufflation for colonoscopy have been reported . A meta‐analysis investigating 21 RCT comprising 3607 colonoscopy patients reported that CO 2 insufflation for colonoscopy could have clinical advantages regarding abdominal pain during and after the procedure .…”