Oil-Lubricated Colonoscopy: Easier and Less Painful?

Brocchi, Emilio; Pezzilli, Raffaele; Bonora, M.; Tomassetti, Paola; Romanelli, Marco; Corinaldesi, Roberto

doi:10.1055/s-2005-861051

Cited by 22 publications

(12 citation statements)

References 14 publications

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“…On the other hand, oil lubrication decreases the friction between the colonic mucosa and the shaft of the scope, but it is devoid of the aforementioned effects by warm water. Brocchi et al [45] performed two prospective, randomized and controlled studies comparing the oil method with a standard technique in one [46] and with a warm water technique in the other. The results of the two studies were similar and consistent with a favorable effect of the oil technique on successful intubation to the cecum, level of patient pain, and degree of difficulty during colonoscopy.…”

Section: New Endoscopic Technologies For Colon Examinationmentioning

confidence: 99%

Colonoscopy, pain and fears: Is it an indissoluble trinomial?

Trevisani

Zelante

Sartori

2014

WJGE

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Colonoscopy is the reference method in the secondary prevention, diagnosis and, in some cases, treatment of colorectal cancer. It can often cause pain associated with embarrassment, anxiety, and physical and emotional discomfort. Pain intensity is influenced by a lot of factors, and there is a strict relationship among pain, pain perception, and mind. Several methods can be used to break the trinomial colonoscopy, pain and fear. Sedoanalgesia is recommended by several guidelines. If no sedation is offered, the patient must accept a higher chance of unacceptable discomfort and the endoscopist a lower chance of completing the procedure because of patient discomfort. Other non-pharmacologic methods such as acupuncture, music, and hydrocolonoscopy can be used as alternatives to pharmacologic sedoanalgesia. Furthermore, new endoscopic technologies such as variable-stiffness colonoscopes and ultrathin colonoscopes, or the use of carbon dioxide instead of air for colon insufflation, can reduce the pain caused by colonoscopy. In the future, technical improvements such as wireless capsules or robotic probes, will probably enable to overcome the present concept of colonoscopy, avoiding the use of traditional endoscopes. However, at present the poor attention paid by endoscopists to the pain and discomfort caused by colonoscopy can not be justified. There are several methods to reduce pain and anxiety and to break the trinomial colonoscopy, pain and fear. We must use them.© 2014 Baishideng Publishing Group Inc. All rights reserved.Key words: Colonoscopy; Pain; Fear; Anxiety; Discomfort; Conscious sedation Core tip: Colonoscopy can often cause pain associated with embarrassment, anxiety, and physical and emotional discomfort. Control of discomfort and pain during colonoscopy is considered to be a high priority by patients. This review of the literature encompasses the main methods for reducing pain and anxiety, to break the trinomial colonoscopy, pain and fear.

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Section: New Endoscopic Technologies For Colon Examinationmentioning

confidence: 99%

Colonoscopy, pain and fears: Is it an indissoluble trinomial?

Trevisani

Zelante

Sartori

2014

WJGE

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“…Such efforts are especially important when the procedure is performed by a trainee. Some researchers are increasingly aware that other supportive methods, such as water instillation or oil lubrication, can provide easier and faster procedures [2,3]. In particular, there is general consensus that the water instillation method can help the procedure [2,[4][5][6][7].…”

Section: Introductionmentioning

confidence: 98%

An Effective Instillation Method for Water-Assisted Colonoscopy as Performed by In-Training Endoscopists in Terms of Volume and Temperature

et al. 2011

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“…Regarding the first aim, simple methods such as water- or oil-lubricated colonoscopy [37, 38] have been shown to be useful in randomized trials, but have obviously not gained widespread acceptance. The effect of external localizers has been studied in randomized trials, with apparent benefit only with trainees involved, but not with experienced colonoscopists [39, 40].…”

Section: Modifications Of Conventional Endoscopes – Small Steps No Bmentioning

confidence: 99%

The New Scopes – Broadening the Colonoscopy Marketplace

Rösch

Eickhoff²,

Fritscher-Ravens³

et al. 2007

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Colonoscopy has been established as a screening tool for colorectal cancer and precursors in some countries. Efforts to improve instrument performance as well as patient comfort, safety and compliance have led to modifications of existing endoscopes as well as to the development of new scopes with different working mechanisms, including the colon capsule. While the former have not substantially changed performance, the true value of new scopes – partially single use and/or self propelling – can not be fully assessed, since they are either still under development and/or tested only in animals and in small groups of patients or volunteers. The colon capsule holds promise but has a too complicated preparatory regimen and too low a sensitivity at the moment. Future developments and further studies will show which of these techniques may complement or even replace traditional screening colonoscopy.

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Oil-Lubricated Colonoscopy: Easier and Less Painful?

Cited by 22 publications

References 14 publications

Colonoscopy, pain and fears: Is it an indissoluble trinomial?

Colonoscopy, pain and fears: Is it an indissoluble trinomial?

An Effective Instillation Method for Water-Assisted Colonoscopy as Performed by In-Training Endoscopists in Terms of Volume and Temperature

The New Scopes – Broadening the Colonoscopy Marketplace

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