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学习和教授水法(附视频)。

Learning and teaching the water method (with videos).

作者信息

Friedland Shai, Leung Felix W

机构信息

Stanford University and VA Palo Alto HCS, North Hill, CA, USA.

出版信息

J Interv Gastroenterol. 2011 Jul;1(3):127-129. doi: 10.4161/jig.1.3.18511. Epub 2011 Jul 1.

DOI:10.4161/jig.1.3.18511
PMID:22163083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3234697/
Abstract

The water method is an insertion technique for colonoscopy which has recently become popular owing to its demonstrated ability to decrease patient pain and sedation requirements. This review focuses on learning and teaching the water method. Data from the United States and Asia suggests that trainees at all levels of experience can safely learn and utilize the water method. Demonstrated benefits in some of the reviewed studies include lessened sedation requirements, less pain for patients and increased cecal intubation rates in minimally sedated patients. These benefits are realized without compromising safety, adenoma detection rates, or procedure times.

摘要

水灌肠法是一种结肠镜检查的插入技术,由于其已被证实能够减轻患者疼痛并减少镇静药物的使用需求,该技术近来颇受青睐。这篇综述聚焦于水灌肠法的学习与教学。来自美国和亚洲的数据表明,不同经验水平的受训者都能够安全地学习和使用水灌肠法。一些综述研究中所展示的益处包括减少镇静药物的使用需求、减轻患者疼痛以及提高轻度镇静患者的盲肠插管率。在不影响安全性、腺瘤检出率或检查时间的情况下即可实现这些益处。

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Learning and teaching the water method (with videos).学习和教授水法(附视频)。
J Interv Gastroenterol. 2011 Jul;1(3):127-129. doi: 10.4161/jig.1.3.18511. Epub 2011 Jul 1.
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Feasibility of colonoscopy with water infusion in minimally sedated patients in an Asian Community Setting.在亚洲社区环境中对轻度镇静患者进行水灌注结肠镜检查的可行性。
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本文引用的文献

1
The water method for aiding colonoscope insertion: the learning curve of an experienced colonoscopist.辅助结肠镜插入的注水法:一位经验丰富的结肠镜检查医师的学习曲线
J Interv Gastroenterol. 2011 Jul;1(3):97-101. doi: 10.4161/jig.1.3.18507. Epub 2011 Jul 1.
2
The water method significantly enhances patient-centered outcomes in sedated and unsedated colonoscopy.水法显著提高了镇静和非镇静结肠镜检查中以患者为中心的结局。
Endoscopy. 2011 Sep;43(9):816-21. doi: 10.1055/s-0030-1256407. Epub 2011 May 24.
3
A randomized, controlled trial to confirm the beneficial effects of the water method on U.S. veterans undergoing colonoscopy with the option of on-demand sedation.一项随机对照试验,旨在确认水法对接受按需镇静的美国退伍军人行结肠镜检查的有益效果。
Gastrointest Endosc. 2011 Jan;73(1):103-10. doi: 10.1016/j.gie.2010.09.020.
4
A proof-of-principle, prospective, randomized, controlled trial demonstrating improved outcomes in scheduled unsedated colonoscopy by the water method.水法在择期无镇静结肠镜检查中改善结局的原理验证、前瞻性、随机、对照研究。
Gastrointest Endosc. 2010 Oct;72(4):693-700. doi: 10.1016/j.gie.2010.05.020. Epub 2010 Jul 8.
5
Water immersion versus standard colonoscopy insertion technique: randomized trial shows promise for minimal sedation.水浸法与标准结肠镜插入技术:随机试验显示了最小镇静的潜力。
Endoscopy. 2010 Jul;42(7):557-63. doi: 10.1055/s-0029-1244231. Epub 2010 Jun 30.
6
Usefulness of warm water and oil assistance in colonoscopy by trainees.培训人员在结肠镜检查中使用温水和油辅助的效果。
Dig Dis Sci. 2010 Oct;55(10):2940-4. doi: 10.1007/s10620-009-1096-6. Epub 2010 Jan 22.
7
A randomized, controlled comparison of warm water infusion in lieu of air insufflation versus air insufflation for aiding colonoscopy insertion in sedated patients undergoing colorectal cancer screening and surveillance.一项针对接受结直肠癌筛查和监测的镇静患者,比较温水注入替代空气注入与空气注入辅助结肠镜插入的随机对照研究。
Gastrointest Endosc. 2009 Sep;70(3):505-10. doi: 10.1016/j.gie.2008.12.253. Epub 2009 Jun 24.
8
Impact of a novel water method on scheduled unsedated colonoscopy in U.S. veterans.一种新型水法对美国退伍军人非镇静结肠镜检查计划的影响。
Gastrointest Endosc. 2009 Mar;69(3 Pt 1):546-50. doi: 10.1016/j.gie.2008.08.014.
9
Pilot feasibility study of the method of water infusion without air insufflation in sedated colonoscopy.镇静结肠镜检查中无空气注入水灌注方法的初步可行性研究
Dig Dis Sci. 2009 Sep;54(9):1997-2001. doi: 10.1007/s10620-008-0576-4. Epub 2008 Dec 5.
10
Water-related techniques for performance of colonoscopy.结肠镜检查操作中的水相关技术。
Dig Dis Sci. 2008 Nov;53(11):2847-50. doi: 10.1007/s10620-008-0259-1. Epub 2008 May 7.