Carbon dioxide vs. air insufflation in ileo-colonoscopy and in gastroscopy plus ileo-colonoscopy: a comparative study
| Autor: | César Prieto-de-Frías, Juan Carrascosa-Gil, Susana de-la-Riva, Cristina Carretero-Ribón, María Teresa Herráiz-Bayod, María Teresa Betés-Ibáñez, María Fernández-Calderón, Miguel Muñoz-Navas |
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| Rok vydání: | 2012 |
| Předmět: |
Male
Insufflation medicine.medical_specialty Abdominal pain Colonoscopy Ileo-colonoscopy law.invention Double-Blind Method Randomized controlled trial law Gastroscopy medicine Humans Aged medicine.diagnostic_test business.industry Air Gastroenterology Endoscopy General Medicine Carbon Dioxide Middle Aged Abdominal distension CO2 insufflation Abdominal Pain Surgery Anesthesia Female medicine.symptom Propofol Air insufflation business Dilatation Pathologic medicine.drug |
| Zdroj: | Revista Española de Enfermedades Digestivas v.104 n.5 2012 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname |
| ISSN: | 1130-0108 |
| DOI: | 10.4321/s1130-01082012000500003 |
| Popis: | Introduction: insufflation with carbon dioxide (CO 2) during endoscopies compared to air is associated with a decrease in abdom inal discomfort after the examination, because CO 2 is readily absorbed through the small intestine and eliminated by the lungs. Aim: the objective of this randomized clinical trial was to assess the effect of CO 2 insufflation on pain and abdominal distension after an ileo-colonoscopy (I) and after an ileo-colonoscopy plus gastroscopy (I+G). Material and methods: we included a total of 309 patients in the study and all endoscopies were performed under sedation with propofol. Two hundred fourteen patients underwent an I (132 with CO 2 / 82 with air) and 95 underwent an I+G (53 with CO 2 / 42 with air). Abdominal pain was studied at 10, 30 and 120 minutes of exploration and abdominal perimeter difference before and after the procedure. Results: both in group I and in group I+G, the use of CO 2 trans lated into an average of abdominal pain significantly lower (p < 0.05). Similarly, a smaller increase in waist circumference was found among group I and group I+G, in patients where CO 2 was used (p < 0.05). Conclusion: the insufflation of CO 2 instead of air during the performance of endoscopy significantly reduces the discomfort and abdominal pain after an ileo-colonoscopy and after a gastroscopy + ileo-colonoscopy. |
| Databáze: | OpenAIRE |
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