Colonoscopy with the water immersion method in colorectal cancer screening

Introduction: Colonoscopy is useful for the diagnosis and treatment of colorectal diseases. It is used as a method of detecting malignant diseases. Most cases of colorectal cancer originate from an adenoma, a process known as the adenoma-carcinoma sequence. Removal of advanced adenomas interrupts th...

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Main Authors: Yunia Tusen Toledo, Lissette Chao González, Lisset Barroso Márquez, Ludmila Martínez Leyva, Teresita Pérez González, Harlim Rodríguez Rodríguez
Format: Article
Language:Spanish
Published: ECIMED 2023-03-01
Series:Revista Cubana de Medicina Militar
Subjects:
Online Access:https://revmedmilitar.sld.cu/index.php/mil/article/view/2330
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author Yunia Tusen Toledo
Lissette Chao González
Lisset Barroso Márquez
Ludmila Martínez Leyva
Teresita Pérez González
Harlim Rodríguez Rodríguez
author_facet Yunia Tusen Toledo
Lissette Chao González
Lisset Barroso Márquez
Ludmila Martínez Leyva
Teresita Pérez González
Harlim Rodríguez Rodríguez
author_sort Yunia Tusen Toledo
collection DOAJ
description Introduction: Colonoscopy is useful for the diagnosis and treatment of colorectal diseases. It is used as a method of detecting malignant diseases. Most cases of colorectal cancer originate from an adenoma, a process known as the adenoma-carcinoma sequence. Removal of advanced adenomas interrupts the potential pathway for colorectal cancer development. The water method of colonoscopy increases the detection rate of adenomas. Objective: To update knowledge related to colonoscopy with the method of immersion in water. Development: Water-assisted colonoscopy can be subdivided into water immersion, water exchange, or totally underwater. Both immersion and water exchange colonoscopy produce less pain for the patient and reduce the need for sedation medications, with a higher percentage of colonoscopies completed in awake patients. The use of water improves the detection of adenomas by facilitating greater cleaning of the intestine of residual feces, in addition to allowing inspection of the mucosa without completely distending the light as air does, increasing the detection performance of flat lesions. Conclusions: The detection rate of adenomas with the water method, especially at the level of the right colon, is higher than with the air insufflation method.
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spelling doaj.art-29d6b503898b45299b177881307dbb172023-06-17T04:25:56ZspaECIMEDRevista Cubana de Medicina Militar1561-30462023-03-01522e02302330e02302330730Colonoscopy with the water immersion method in colorectal cancer screeningYunia Tusen Toledo0Lissette Chao González1Lisset Barroso Márquez2Ludmila Martínez Leyva3Teresita Pérez González4Harlim Rodríguez Rodríguez5Centro de Investigaciones ClínicasCIMEQCIMEQHMC Dr. Carlos J. FinlayHospital General Docente Iván Portuondo. ArtemisaHospital General Docente Iván Portuondo. ArtemisaIntroduction: Colonoscopy is useful for the diagnosis and treatment of colorectal diseases. It is used as a method of detecting malignant diseases. Most cases of colorectal cancer originate from an adenoma, a process known as the adenoma-carcinoma sequence. Removal of advanced adenomas interrupts the potential pathway for colorectal cancer development. The water method of colonoscopy increases the detection rate of adenomas. Objective: To update knowledge related to colonoscopy with the method of immersion in water. Development: Water-assisted colonoscopy can be subdivided into water immersion, water exchange, or totally underwater. Both immersion and water exchange colonoscopy produce less pain for the patient and reduce the need for sedation medications, with a higher percentage of colonoscopies completed in awake patients. The use of water improves the detection of adenomas by facilitating greater cleaning of the intestine of residual feces, in addition to allowing inspection of the mucosa without completely distending the light as air does, increasing the detection performance of flat lesions. Conclusions: The detection rate of adenomas with the water method, especially at the level of the right colon, is higher than with the air insufflation method.https://revmedmilitar.sld.cu/index.php/mil/article/view/2330colonoscopía con el método de aguaadenomascáncer colorrectal.
spellingShingle Yunia Tusen Toledo
Lissette Chao González
Lisset Barroso Márquez
Ludmila Martínez Leyva
Teresita Pérez González
Harlim Rodríguez Rodríguez
Colonoscopy with the water immersion method in colorectal cancer screening
Revista Cubana de Medicina Militar
colonoscopía con el método de agua
adenomas
cáncer colorrectal.
title Colonoscopy with the water immersion method in colorectal cancer screening
title_full Colonoscopy with the water immersion method in colorectal cancer screening
title_fullStr Colonoscopy with the water immersion method in colorectal cancer screening
title_full_unstemmed Colonoscopy with the water immersion method in colorectal cancer screening
title_short Colonoscopy with the water immersion method in colorectal cancer screening
title_sort colonoscopy with the water immersion method in colorectal cancer screening
topic colonoscopía con el método de agua
adenomas
cáncer colorrectal.
url https://revmedmilitar.sld.cu/index.php/mil/article/view/2330
work_keys_str_mv AT yuniatusentoledo colonoscopywiththewaterimmersionmethodincolorectalcancerscreening
AT lissettechaogonzalez colonoscopywiththewaterimmersionmethodincolorectalcancerscreening
AT lissetbarrosomarquez colonoscopywiththewaterimmersionmethodincolorectalcancerscreening
AT ludmilamartinezleyva colonoscopywiththewaterimmersionmethodincolorectalcancerscreening
AT teresitaperezgonzalez colonoscopywiththewaterimmersionmethodincolorectalcancerscreening
AT harlimrodriguezrodriguez colonoscopywiththewaterimmersionmethodincolorectalcancerscreening