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Water-assisted colonoscopy: an international modified Delphi review on definitions and practice recommendations
S. Cadoni, S. Ishaq, C. Hassan, P. Falt, L. Fuccio, K. Siau, JW. Leung, J. Anderson, KF. Binmoeller, F. Radaelli, MD. Rutter, S. Sugimoto, H. Muhammad, P. Bhandari, PV. Draganov, P. de Groen, AY. Wang, AW. Yen, C. Hamerski, H. Thorlacius, H....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, přehledy
Odkazy
PubMed
33069706
DOI
10.1016/j.gie.2020.10.011
Knihovny.cz E-zdroje
- MeSH
- adenom * diagnóza chirurgie MeSH
- delfská metoda MeSH
- kolonoskopie MeSH
- konsensus MeSH
- lidé MeSH
- voda * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
BACKGROUND AND AIMS: Since 2008, a plethora of research studies has compared the efficacy of water-assisted (aided) colonoscopy (WAC) and underwater resection (UWR) of colorectal lesions with standard colonoscopy. We reviewed and graded the research evidence with potential clinical application. We conducted a modified Delphi consensus among experienced colonoscopists on definitions and practice of water immersion (WI), water exchange (WE), and UWR. METHODS: Major databases were searched to obtain research reports that could potentially shape clinical practice related to WAC and UWR. Pertinent references were graded (Grading of Recommendations, Assessment, Development and Evaluation). Extracted data supporting evidence-based statements were tabulated and provided to respondents. We received responses from 55 (85% surveyed) experienced colonoscopists (37 experts and 18 nonexperts in WAC) from 16 countries in 3 rounds. Voting was conducted anonymously in the second and third round, with ≥80% agreement defined as consensus. We aimed to obtain consensus in all statements. RESULTS: In the first and the second modified Delphi rounds, 20 proposed statements were decreased to 14 and then 11 statements. After the third round, the combined responses from all respondents depicted the consensus in 11 statements (S): definitions of WI (S1) and WE (S2), procedural features (S3-S5), impact on bowel cleanliness (S6), adenoma detection (S7), pain score (S8), and UWR (S9-S11). CONCLUSIONS: The most important consensus statements are that WI and WE are not the same in implementation and outcomes. Because studies that could potentially shape clinical practice of WAC and UWR were chosen for review, this modified Delphi consensus supports recommendations for the use of WAC in clinical practice.
ASSL Carbonia Sirai Hospital Digestive Endoscopy Unit Carbonia Italy
Bezmialem Vakif University Medicine Faculty Department of Medicine Istanbul Turkey
Birmingham City University Birmingham United Kingdom
Chiba University Gastroenterology Department Chiba Japan
Cochin Hospital Gastroenterology Department Paris France
CTO Hospital Digestive Endoscopy Unit Iglesias Italy
Dalin Tzu Chi Hospital Buddhist Tzu Chi Medical Foundation Dalin Township Taiwan
David Geffen School of Medicine at UCLA Department of Medicine Los Angeles California United States
Department of Gastroenterology New Tokyo Hospital Gastroenterology Matsudo Chiba Japan
Department of Medicine VA Greater Los Angeles Health Care System Los Angeles United States
Division of Population Medicine School of Medicine Cardiff University Cardiff United Kingdom
Endoscopy Department Hereford County Hospital Hereford United Kingdom
Endoscopy Unit Hospital Universitario 12 de Octubre Madrid Spain
Endoscopy Unit University Hospital La Fe Valencia Spain
Faculty of Medicine Charles University Hradec Králové Czech Republic
Gastroenterology Department Endoscopy Unit Complejo Hospitalario de Navarra Pamplona Spain
Gloucestershire Hospitals NHS Foundation Trust Gloucestershire United Kingdom
Hospital Germans Triasi i Pujol Teknon Medical Center Gastroenterology Barcelona Spain
JAG Clinical Fellow JAG Royal College of Physicians London United Kingdom
King's College Hospital NHS foundation Trust Gastroenterology Department London United Kingdom
Lund University Surgery Department of Gastrointestinal Surgery Malmö Sweden
Mayo Clinic Scottsdale Arizona United States
NHO Kure Medical Center and Chugoku Cancer Center Gastroenterology Department Kure Japan
NHO Kurihama Medical and Addiction Center Endoscopy Center Yokosuka Japan
Nuovo Regina Margherita Hospital Digestive Endoscopy Unit Rome Italy
Osaka International Cancer Institute Department of Gastrointestinal Oncology Osaka Japan
Ospedale Valduce Gastroenterology Unit Como Italy
Portsmouth University Hospital Dept of Gastroenterology Portsmouth United Kingdom
Russell Hall Dept of Gastroenterology Birmingham United Kingdom
S Orsola Malpighi University Hospital Department of Medical and Surgical Sciences Bologna Italy
Sheffield Teaching Hospitals Gastroenterology Department Sheffield United Kingdom
Telemark Hospital Gastroenterology Department Skien Norway
University Hospital and Faculty of Medicine Palacky University Olomouc Czech Republic
University Hospital North Tees NHS Department of Gastroenterology Stockton on Tees United Kingdom
University of British Columbia Department of Medicine Kelowna Canada
University of Florida Gainesville Florida United States
University of Minnesota Division of Gastroenterology Minneapolis Minnesota United States
University of Roehampton London United Kingdom
VU University Medical Center Department of Gastroenterology Amsterdam The Netherlands
Wolfson Unit for Endoscopy St Mark's Hospital London United Kingdom
Xijing Hospital Department of Gastroenterology Xian Republic of China
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