Water Exchange to Facilitate Unsedated Colonoscopy

20:00 EDT 21 Aug 2017 | JAMA

To the Editor Dr Leung commented on a study in JAMA Internal Medicine on monitored anesthesia care for outpatient gastrointestinal endoscopy and advocated for further study of water exchange colonoscopy, which requires little colon distention and thus makes colonoscopy less painful compared with air insufflation. Water exchange colonoscopy can be performed without sedation and thus may be an answer to the unsustainable costs of monitored anesthesia care.

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Anesthesia is the loss of feeling or sensation in all or part of the body. It may result from damage to nerves or can be induced by an anesthetist (a medical professional) using anesthetics such as thiopental or propofol or sevoflurane during a surgical ...

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