Original article
Alimentary tract: Editorial
Water Filling and Carbon Dioxide Insufflation: Tools for Every Colonoscopist

https://doi.org/10.1016/j.cgh.2015.07.046Get rights and content

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    This report has some strengths. The consensus statements produced by the modified Delphi review have addressed the early concerns regarding WAC.53-57 Such consensus enables and facilitates improved understanding of WAC techniques.

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    I have found that water can distend the colon, allowing for visualization of the lumen without maximally distending the lumen similar to air, which can exacerbate the angulation. Another advantage of water in patients with angulated sigmoid colons is that its use could prevent excessive use of air and potential barotrauma of the cecum, even when using CO2.5 One useful application of water in colonoscopy insertion is in patients undergoing unsedated colonoscopies.

  • Some Clarifications About Water-Aided Colonoscopy

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Conflicts of interest The author discloses the following: Douglas Rex has received consulting fees from Olympus Corporation and Endochoice, and has received research support from Olympus Corporation.

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