Abstract

ROSSELL, Adalis et al. Colonoscopy in children: technical comparison of the modified inmersion vs the standard technique. Preliminary report. Gen [online]. 2014, vol.68, n.2, pp.34-38. ISSN 0016-3503.

Introduction: Pain and technical difficulties are a problem when performing standard colonoscopy. The use of water in colonoscopy is a technique that facilitates insertion of the instrument and is associated with better tolerated by the patient. Objective: To compare the modified immersion colonoscopy versus standard colonoscopy as better technical and use less sedation in children. Patients and Methods: A prospective, randomized study, from September 2012 to March 2013. Group A: immersion in water and air insuffl ation. Group B: with insufflation (standard). We evaluated the rate cecal intubation, cecal intubation time, additional sedation, analgesia and tolerability considering the presence of pain. Results: Group A: 10 children, mean age 6.6 years (range: 2-11), 76.92% males. Group B: 13 children, mean age 6.3 years (range: 2-12), 70% male. The most frequent indication was rectal bleeding in both groups. The cecal intubation rate in group A was 80% compared to 61.53% in group B, OR = 2.5 (95% CI = 0.37 to 16.89), The average cecal intubation in group A was 9,18 minutes + 3,51 y en el grupo B 13,97 minutes + 4,88, without significant difference (p = 0.2362). Additional sedation Butylscopolamine bromide administration was required in 1/9 (10%) in group A and in 8/13 (61.53%) in group B, with a significant difference (p = 0.0288), with better tolerability process in group A. Conclusions: technique of water and air insuffl ation on colonoscopy in children was associated with less sedation and better tolerability of the procedure. The application of the technique in a larger group will establish a better time and cecal intubation success.

Keywords : standard colonoscopy; water immersion; sedation; cecal intubation; bleeding rectal.

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