Pain following colonoscopy: elimination with carbon dioxide
| Autor: | Geoffrey R. Norman, R.L. Goodacre, Giles W. Stevenson, Jeremy Mark Wilkinson, J.A. Wilson |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Colon Gastroenterology Colonoscopy Pain Insufflation Carbon Dioxide Endoscopy Surgery Radiography chemistry.chemical_compound chemistry Carbon dioxide Intestine Small medicine Flatulence Humans Radiology Nuclear Medicine and imaging Prospective randomized study Prospective Studies business Gastrointestinal endoscopy |
| Zdroj: | Gastrointestinal endoscopy. 38(5) |
| ISSN: | 0016-5107 |
| Popis: | Fifty-six patients have been examined in a prospective randomized study on the effects of air and carbon dioxide on post-procedural discomfort following colonoscopy. A significant reduction in post-procedural pain was observed at 6 hours (p =0.0005) and was still present the next day (p = 0.01). This was associated with a difference in the grading of flatus at 6 and 24 hours (p =0.0001 and0.05, respectively). An abdominal radiograph 1 hour after the procedure showed minimal gas in the CO2 patients, while the patients who had air showed distention of large and small bowel (p =0.0001 and0.01, respectively). Seventeen of 29 patients who had air suffered post-procedural pain, compared with 2 of 27 of the CO2 patients. Fifty-seven percent of the patients who were given air had colonic diameters over 6 cm on a 1-hour post-colonoscopy radiograph and 18% over 10-cm diameter. Provision by equipment manufacturers of simple and safe devices for routine delivery of CO2 for lower gastrointestinal endoscopy is long overdue. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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