Editorial: Polyps, Pain, and Propofol: Is Water Exchange the Panacea for All?

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Water exchange (WE) is a relatively new method of endoscope insertion during colonoscopy. Although its origin is rooted in the insertion phase of colonoscopy, allowing the procedure to proceed with more ease, less discomfort, and less or no sedation, its most important value may reside in the withdrawal phase. In this issue, a randomized, prospective study from China specifically designed to examine the effect of WE on adenoma detection rate (ADR) confirms previous findings: WE improves ADR. Here we discuss the trial results, the benefits of WE, and the challenges that may preclude or delay widespread WE implementation.

Original languageEnglish (US)
Pages (from-to)578-580
Number of pages3
JournalAmerican Journal of Gastroenterology
Issue number4
StatePublished - Apr 1 2017

Bibliographical note

Funding Information:
This work was supported by the University of Minnesota.

Publisher Copyright:
© 2017 by the American College of Gastroenterology.


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