| The use of carbon dioxide for insufflation during GI endoscopy: a systematic review. | |
| | |
MedLine Citation:
|
PMID: 19152906 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Insufflation of the lumen is required for visualization during GI endoscopy. Carbon dioxide (CO(2)) has been proposed as an alternative to room air for insufflation. OBJECTIVES: To assess the safety and efficacy of CO(2) insufflation for endoscopy. DESIGN: Systematic review that focuses on evidence from randomized controlled trials (RCT). METHODS: Two investigators independently searched MEDLINE from 1950 to February 13, 2008, to identify all articles that reported the use of CO(2) in a GI endoscopy application. Bibliographies of relevant articles were also hand searched to identify other pertinent reports. Data from RCTs, as well as from nonrandomized studies, were extracted. RESULTS: Nine RCTs were identified that compared CO(2) and air insufflation for GI endoscopy. Fifteen other nonrandomized studies or reports were also reviewed. In the 8 RCTs in which postprocedural pain was assessed, pain was lower in the CO(2) insufflation group compared with the air group. Two RCTs found decreased flatus in the CO(2) group compared with the air group, and 3 RCTs showed there was decreased bowel distention on abdominal radiography in the CO(2) group compared with the air group. Also, in all 9 RCTs and 6 additional studies in which safety was assessed, there was no CO(2) retention and no adverse pulmonary events related to CO(2) insufflation. LIMITATIONS: Because of study heterogeneity, meta-analytic techniques could not be used. CONCLUSIONS: Consistent RCT evidence indicates that CO(2) insufflation is associated with decreased postprocedural pain, flatus, and bowel distention. CO(2) insufflation also appears to be safe in patients without severe underlying pulmonary disease. |
| | |
Authors:
|
Evan S Dellon; James S Hawk; Ian S Grimm; Nicholas J Shaheen |
Related Documents
:
|
12435336 - Intravascular brachytherapy: a systematic review of its role in reducing restenosis aft... 18499526 - Acupuncture for tension-type headache: a meta-analysis of randomized, controlled trials. 10796556 - Oral 5-aminosalicylic acid for maintaining remission in ulcerative colitis. 15996966 - How strong is the evidence for the use of perioperative beta blockers in non-cardiac su... 7051086 - Budd-chiari syndrome: clinical patterns and therapy. 19932266 - The retrograde aortic arch in the hybrid approach to hypoplastic left heart syndrome. |
Publication Detail:
|
Type: Journal Article; Research Support, N.I.H., Extramural; Review Date: 2009-01-18 |
Journal Detail:
|
Title: Gastrointestinal endoscopy Volume: 69 ISSN: 1097-6779 ISO Abbreviation: Gastrointest. Endosc. Publication Date: 2009 Apr |
Date Detail:
|
Created Date: 2009-03-30 Completed Date: 2009-07-15 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0010505 Medline TA: Gastrointest Endosc Country: United States |
Other Details:
|
Languages: eng Pagination: 843-9 Citation Subset: IM |
Affiliation:
|
Department of Medicine, Division of Gastroenterology and Hepatology, Center for Esophageal Diseases and Swallowing, University of North Carolina School of Medicine, Chapel Hill, North Carolina 27599-7080, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Carbon Dioxide* Endoscopy, Gastrointestinal / methods* Humans Insufflation* |
| Grant Support | |
ID/Acronym/Agency:
|
T32 DK007634/DK/NIDDK NIH HHS |
| Chemical | |
Reg. No./Substance:
|
124-38-9/Carbon Dioxide |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Endoscopic hemostasis in peptic ulcer bleeding for patients with high-risk lesions: a series of meta...
Next Document: Are bowel purgatives and prokinetics useful for small-bowel capsule endoscopy? A prospective randomi...