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Unsedated Colonoscopy: Is It Feasible?

Unsedated colonoscopy has been an evolving subject ever since its initial description four decades ago. Failure in unsedated diagnostic cases due to patient pain led to the introduction of sedation. Extension to screening cases, albeit logical, created a sedation-related barrier to colonoscopy scree...

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Detalles Bibliográficos
Autores principales: Leung, Felix W., Aljebreen, Abdulrahman M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133991/
https://www.ncbi.nlm.nih.gov/pubmed/21727740
http://dx.doi.org/10.4103/1319-3767.82588
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author Leung, Felix W.
Aljebreen, Abdulrahman M.
author_facet Leung, Felix W.
Aljebreen, Abdulrahman M.
author_sort Leung, Felix W.
collection PubMed
description Unsedated colonoscopy has been an evolving subject ever since its initial description four decades ago. Failure in unsedated diagnostic cases due to patient pain led to the introduction of sedation. Extension to screening cases, albeit logical, created a sedation-related barrier to colonoscopy screening. In recent years a water method has been developed to combat the pain during unsedated colonoscopy in the US. In randomized controlled trials the water method decreases pain, increases cecal intubation success, and enhances the proportion of patients who complete unsedated colonoscopy. The salvage cleansing of suboptimal bowel preparation by the water method serendipitously may have increased the detection of adenoma in both unsedated and sedated patients. The state-of-the-art lecture concludes that unsedated colonoscopy is feasible. The hypothesis is that recent advances, such as the development of the water method, may contribute to reviving unsedated colonoscopy as a potentially attractive option for colon cancer screening and deserves to be tested.
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spelling pubmed-31339912011-07-19 Unsedated Colonoscopy: Is It Feasible? Leung, Felix W. Aljebreen, Abdulrahman M. Saudi J Gastroenterol New Horizon Unsedated colonoscopy has been an evolving subject ever since its initial description four decades ago. Failure in unsedated diagnostic cases due to patient pain led to the introduction of sedation. Extension to screening cases, albeit logical, created a sedation-related barrier to colonoscopy screening. In recent years a water method has been developed to combat the pain during unsedated colonoscopy in the US. In randomized controlled trials the water method decreases pain, increases cecal intubation success, and enhances the proportion of patients who complete unsedated colonoscopy. The salvage cleansing of suboptimal bowel preparation by the water method serendipitously may have increased the detection of adenoma in both unsedated and sedated patients. The state-of-the-art lecture concludes that unsedated colonoscopy is feasible. The hypothesis is that recent advances, such as the development of the water method, may contribute to reviving unsedated colonoscopy as a potentially attractive option for colon cancer screening and deserves to be tested. Medknow Publications 2011 /pmc/articles/PMC3133991/ /pubmed/21727740 http://dx.doi.org/10.4103/1319-3767.82588 Text en © Saudi Journal of Gastroenterology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle New Horizon
Leung, Felix W.
Aljebreen, Abdulrahman M.
Unsedated Colonoscopy: Is It Feasible?
title Unsedated Colonoscopy: Is It Feasible?
title_full Unsedated Colonoscopy: Is It Feasible?
title_fullStr Unsedated Colonoscopy: Is It Feasible?
title_full_unstemmed Unsedated Colonoscopy: Is It Feasible?
title_short Unsedated Colonoscopy: Is It Feasible?
title_sort unsedated colonoscopy: is it feasible?
topic New Horizon
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133991/
https://www.ncbi.nlm.nih.gov/pubmed/21727740
http://dx.doi.org/10.4103/1319-3767.82588
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