Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Research Article Volume 4 Issue 5

The Effect of Water Flushing Pump during Colonoscopy in Adenoma Detection Rate. (Retrospective Study)

Assaf Mushira, Khalil Ali, Matar Rasha, Lakis Remi, Mroue Ahmad and Hallal Mahmoud*

Department of Gastroenterology and Hepatology, Al-Zahraa Hospital University Medical Center (ZHUMC), Beirut, Lebanon

*Corresponding Author: Hallal Mahmoud, Department of Gastroenterology and Hepatology, Al Zahraa Hospital University Medical Center (ZHUMC), Beirut, Lebanon.

Received: February 22, 2021; Published: April 12, 2021

Abstract

Background/Aims: The adenomatous colorectal polyps are known to be the precursors lesions of colorectal cancer. The aim of our study was to determinate whether the use of water pump in colonoscopy significantly improve the prevalence of polyps and rate of adenoma detection and therefore could be recommended in every endoscopy unit for potentially more effective cancer prevention.

Methods: All endoscopy and pathology reports of adult patients underwent colonoscopy at Zhumc between June 2017 and June 2018 were studied retrospectively. The water pump introduced in 15th December 2017. Data were compared between two groups: pre and post installation of pump with six months margin.

Results: 1006 eligible patients (mean age 56, male to female ratio 1:1) of which 532 in the pre-pump group and 474 in the post-pump group with similar baseline characteristics were compared concerning prevalence of polyps and rate of adenoma detection. Prevalence of polyps was 36% in the pre-pump group versus 38% in the post-pump group with no statistical significant difference between the two groups: (P = 0.662). Rate of adenoma detection was 26.2% for the first group versus 27.1% for the second group with again no significant difference between the two groups: (P = 0.82). Mean number of polyps of less than 5 mm were also compared between the two groups with no significant difference. The chi square test was performed for comparison between results.

Conclusion: The use of water pump had no effect on the detection of adenomatous lesions. On the other hand, with the use of water pump the procedure is faster, easier and therefore more effective in means saving time and effort and achieving the same results.

Keywords: Water Flushing Pump; Colonoscopy; Adenoma Detection Rate; Colorectal Cancer

References

  1. Parking DM. “Global cancer statistics in the year 2000”. The Lancet Oncology 2 (2001): 533-543.
  2. Siegel R., et al. “Cancer statistics,2011: The impact of eliminating socioeconomic and racial disparities on premature cancer deaths”. CA: A Cancer Journal for Clinicians 61 (2011): 212-236.
  3. Kozuka S., et al. “Premalignancy of the mucosal polyp in the large intestine: II. Estimation of the periods required for malignant transformation of mucosal polyps”. Diseases of the Colon and Rectum 18 (1975): 494-500.
  4. Zuber AG., et al. “Colonoscopic polypectomy and long term prevention of colorectal cancer deaths”. The New England Journal of Medicine 366 (2012): 687-696.
  5. Davila RE., et al. “ASGE guideline: colorectal cancer screening and surveillance”. Gastrointestinal Endoscopy 63 (2006): 546-557.
  6. Di Palma JA and Brady CE. “Colon cleansing for diagnostic and surgical procedures: polyethylene glycol-electrolyte lavage solution”. The American Journal of Gastroenterology 84 (1989): 1008-1016.
  7. Ness RM., et al. “Predictors of inadequate preparation for colonoscopy”. The American Journal of Gastroenterology 96 (2001): 1797-1802.
  8. Winawer S., et al. “Colorectal cancer screening and surveillance: clinical guidelines and rationale-Update based on new evidence”. Gastroenterology 124 (2003): 544-560.
  9. Rayees N. “Colon cleansing of residual stool and secretions during colonoscopy”. Gi Innovations (2012).
  10. Austin LG., et al. “Can Colonoscopy Remain Cost-effective for Colorectal Cancer Screening? The impact of practice patterns and the Will Rogers phenomenon on costs”. The American Journal of Gastroenterology 3 (2013): 296-301.
  11. Kaminski MF., et al. “Quality indicators for colonoscopy and the risk of interval cancer”. New England Journal of Medicine 19 (2010): 1795-1803.
  12. Pabby A., et al. “Analysis of colorectal cancer occurrence during surveillance colonoscopy in the dietary Polyp Prevention Trial”. Gastrointestinal Endoscopy 61 (2005): 385-391.

Citation

Citation: Hallal Mahmoud., et al. “The Effect of Water Flushing Pump during Colonoscopy in Adenoma Detection Rate. (Retrospective Study)”. Acta Scientific Gastrointestinal Disorders 4.5 (2021): 14-18.

Copyright

Copyright: © 2021 Hallal Mahmoud., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
Impact Factor0.622

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