Friedland Shai, Leung Felix W
Stanford University and VA Palo Alto HCS, North Hill, CA, USA.
J Interv Gastroenterol. 2011 Jul;1(3):127-129. doi: 10.4161/jig.1.3.18511. Epub 2011 Jul 1.
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.
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。