Efficacy of water infusion combined with defoamers in colonoscopy.

IF 1.7 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY World Journal of Gastrointestinal Surgery Pub Date : 2025-03-27 DOI:10.4240/wjgs.v17.i3.99784
Jian Li, Jun-Ping Chen, Chun-Han Lai, Lian Fu, Yong Ji
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Abstract

Background: Currently, colonoscopy still needs continuous optimization and exploration of novel alternative approaches to enhance the experience of patients during colonoscopy.

Aim: To analyze the efficacy of water infusion combined with defoamers in colonoscopy.

Methods: This study included 97 patients undergoing colonoscopy from January 2024 to June 2024. The participants were categorized into two groups, namely, the control group (n = 47), who underwent conventional colonoscopy, and the experimental group (n = 50), who received colonoscopy using water injection combined with defoamers. A comparative analysis was then conducted on the disease detection rate (colonic polyps, colonorrhagia, colonic ulcers, colonic mucosal lesions, and others), colonoscopy duration, abdominal pain [visual analog scale (VAS)], Boston bowel preparation scale (BBPS), self-rating anxiety scale (SAS), bowel preparation comfort, complications (intestinal perforation, bleeding, nausea and vomiting, abdominal pain, and abdominal distension), and patient satisfaction.

Results: The experimental group demonstrated a significantly higher total disease detection rate, BBPS scores, and patient satisfaction compared with the control group. Further, the research group exhibited shorter colonoscopy duration, lower VAS and SAS scores and total complication rate, and better patient comfort and satisfaction.

Conclusion: These results indicate that the combination of water injection and defoamers exhibited an overall better therapeutic effect than conventional colonoscopy, mainly reflected in higher disease detection rate, faster examination efficiency, lower abdominal pain, anxiety, and complication incidences, and significantly better bowel preparation, comfort, and patient satisfaction.

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输水联合消泡剂在结肠镜检查中的疗效。
背景:目前,结肠镜检查仍需要不断优化和探索新的替代方法,以增强患者在结肠镜检查中的体验。目的:分析输水联合消泡剂在结肠镜检查中的应用效果。方法:本研究纳入2024年1月至2024年6月行结肠镜检查的97例患者。将参与者分为两组,对照组(n = 47)接受常规结肠镜检查,实验组(n = 50)接受注射水联合消泡剂结肠镜检查。比较分析疾病检出率(结肠息肉、结肠出血、结肠溃疡、结肠粘膜病变等)、结肠镜检查时间、腹痛[视觉模拟量表(VAS)]、波士顿肠准备量表(BBPS)、焦虑自评量表(SAS)、肠准备舒适度、并发症(肠穿孔、出血、恶心呕吐、腹痛、腹胀)、患者满意度。结果:实验组的总疾病检出率、BBPS评分、患者满意度均明显高于对照组。此外,研究组结肠镜检查时间更短,VAS和SAS评分和总并发症发生率更低,患者舒适度和满意度更高。结论:综上所述,水注射联合消泡剂的治疗效果总体上优于常规结肠镜检查,主要表现在疾病检出率高、检查效率快、腹痛、焦虑、并发症发生率低、肠道准备、舒适度、患者满意度显著提高。
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