Pellegrino Raffaele, Palladino Giovanna, Izzo Michele, De Costanzo Ilaria, Landa Fabio, Federico Alessandro, Gravina Antonietta Gerarda
Hepatogastroenterology Division, Department of Precision Medicine, University of Campania Luigi Vanvitelli, Naples 80138, Italy.
World J Gastrointest Endosc. 2024 Dec 16;16(12):647-660. doi: 10.4253/wjge.v16.i12.647.
Water-assisted colonoscopy (WAC) application in inflammatory bowel diseases (IBD) endoscopy offers significant technical opportunities. Traditional gas-aided insufflation colonoscopy increases patient discomfort, presenting challenges in the frequent and detailed mucosal assessments required for IBD endoscopy. WAC techniques, including water immersion and exchange, provide superior patient comfort and enhanced endoscopic visualisation. WAC effectively reduces procedural pain, enhances bowel cleanliness, and increases adenoma detection rates, which is crucial for colorectal cancer screening and disease-related evaluations in IBD patients. Additionally, underwater techniques facilitate basic and advanced endoscopic resections, such as polypectomy and endoscopic mucosal and submucosal resections, often required for resecting IBD-associated neoplasia.
水辅助结肠镜检查（WAC）在炎症性肠病（IBD）内镜检查中的应用提供了重要的技术机遇。传统的气腹结肠镜检查会增加患者的不适感，这给IBD内镜检查所需的频繁且详细的黏膜评估带来了挑战。WAC技术，包括水浸和水交换，能为患者提供更高的舒适度并增强内镜视野。WAC有效减轻了操作疼痛，提高了肠道清洁度，并提高了腺瘤检出率，这对于IBD患者的结直肠癌筛查和疾病相关评估至关重要。此外，水下技术有助于进行基本和高级内镜切除术，如息肉切除术以及内镜黏膜和黏膜下切除术，这些手术通常是切除IBD相关肿瘤所必需的。
