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Methods of reducing discomfort during colonoscopy
1Research and Medical Services, Sepulveda Ambulatory Care Center, VA Greater Los Angeles Healthcare System, North Hills, CA 91343, USA. felix.leung@va.gov
Digestive Diseases and Sciences
|November 14, 2007
Summary
Many patients can complete colonoscopy without sedation, and low discomfort is key for repeat procedures. Research into simple, non-medication methods to reduce patient discomfort is needed for better colonoscopy compliance.
Area of Science:
- Gastroenterology
- Endoscopy
Background:
- Sedation is standard for colonoscopy in the US, but unsedated procedures are an option.
- Over 80% of patients offered as-needed sedation can complete colonoscopy without it.
Purpose of the Study:
- To explore factors influencing the success and patient willingness to repeat unsedated colonoscopy.
- To identify methods for minimizing discomfort during unsedated colonoscopy.
Main Methods:
- Analysis of patient outcomes and willingness to repeat unsedated colonoscopy.
- Review of techniques used to minimize discomfort and enhance cecal intubation.
Main Results:
- Low patient discomfort during unsedated colonoscopy significantly correlated with willingness to repeat the procedure.
- Various methods, including specialized equipment and non-pharmacological techniques, have been used to manage discomfort.
Conclusions:
- Minimizing discomfort is crucial for patient compliance with future surveillance after unsedated colonoscopy.
- Further research on simple, inexpensive, non-medication methods to reduce discomfort is warranted.
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