Carbon dioxide vs. air insufflation in ileo-colonoscopy and in gastroscopy plus ileo-colonoscopy: a comparative study
| العنوان: | Carbon dioxide vs. air insufflation in ileo-colonoscopy and in gastroscopy plus ileo-colonoscopy: a comparative study |
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| المؤلفون: | 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 |
| المصدر: | Revista Española de Enfermedades Digestivas v.104 n.5 2012 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname |
| بيانات النشر: | SciELO Espana/Repisalud, 2012. |
| سنة النشر: | 2012 |
| مصطلحات موضوعية: | 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 |
| الوصف: | 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. |
| وصف الملف: | text/html |
| تدمد: | 1130-0108 |
| DOI: | 10.4321/s1130-01082012000500003 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::af4a865317ab3550302682447015d08f https://doi.org/10.4321/s1130-01082012000500003 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....af4a865317ab3550302682447015d08f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 11300108 |
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| DOI: | 10.4321/s1130-01082012000500003 |