Water-assisted colonoscopy in inflammatory bowel diseases:From technical implications to diagnostic and therapeutic potentials  

作　　者：Raffaele Pellegrino Giovanna Palladino Michele Izzo Ilaria De Costanzo Fabio Landa Alessandro Federico Antonietta Gerarda Gravina 

机构地区：[1]Hepatogastroenterology Division,Department of Precision Medicine,University of Campania Luigi Vanvitelli,Naples 80138,Italy

出　　处：《World Journal of Gastrointestinal Endoscopy》2024年第12期647-660,共14页世界胃肠内镜杂志（英文）

摘　　要：Water-assisted colonoscopy(WAC)application in inflammatory bowel diseases(IBD)endoscopy offers significant technical opportunities.Traditional gas-aided insufflation colonoscopy increases patient discomfort,presenting challenges in the frequent and detailed mucosal assessments required for IBD endoscopy.WAC techniques,including water immersion and exchange,provide superior patient comfort and enhanced endoscopic visualisation.WAC effectively reduces procedural pain,enhances bowel cleanliness,and increases adenoma detection rates,which is crucial for colorectal cancer screening and disease-related evaluations in IBD patients.Additionally,underwater techniques facilitate basic and advanced endoscopic resections,such as polypectomy and endoscopic mucosal and submucosal resections,often required for resecting IBD-associated neoplasia.

关 键 词：COLONOSCOPY Water-immersion Water-exchange Water-aided Waterassisted Inflammatory bowel disease Crohn’s disease Ulcerative colitis ENDOSCOPY UNDERWATER 

分 类 号：R574[医药卫生—消化系统]