Background And Study Aims: Carbon dioxide (CO2) insufflation has previously been shown to have advantages over air insufflation in terms of procedure-related pain and oral insertion depth during double-balloon enteroscopy. The aim of this prospective study was to evaluate the performance of CO2 vs. air insufflation during single-balloon enteroscopy.
Patients And Methods: This study was a randomized European multicenter trial (ClinicalTrials.gov: NCT01524055). Patients and endoscopists were blinded to the type of insufflation gas used. Patient discomfort during and after the procedure was scored using a visual analog scale.
Results: A total of 107 patients were enrolled in the study (52 in the CO2 group and 55 in the air group). Patient characteristics were comparable in both groups. The mean (±SD) oral intubation depth was not significantly deeper in the CO2 group vs. the air group (254±80 vs. 238±55 cm; P=0.726). However, in patients with previous abdominal surgery, oral intubation depth was significantly higher in the CO2 group compared with the air group (258±84 vs. 192±42 cm; P<0.05). In patients undergoing SBE via the anal approach, CO2 showed no significant difference in intubation depth compared with air insufflation (86±67 vs. 110±68 cm; P=0.155). The diagnostic yield was comparable (CO2 67%; air 73%). Procedure times, dosage of sedation, and therapeutic interventions did not differ between the two groups. Patients in the CO2 group reported less pain than those in the air group.
Conclusions: This study demonstrated an advantage of using CO2 insufflation during single-balloon enteroscopy in patients with a history of previous abdominal surgery. Overall, single-balloon enteroscopy was a well-tolerated procedure that may benefit from the use of CO2 insufflation to reduce post-procedural pain.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1055/s-0033-1359041 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Synergistic effect of scattered rare metals on Pt/CeO for propane oxidative dehydrogenation with CO.
RSC Adv
January 2025
State Key Laboratory of Solidification Processing, Center for Nano Energy Materials, School of Materials Science and Engineering, Northwestern Polytechnical University (NPU), Shaanxi Joint Laboratory of Graphene Xi'an 710072 China
The oxidative dehydrogenation of propane with CO (CO-ODP) is a green industrial process for producing propene. Cerium oxide-supported platinum-based (Pt/CeO) catalysts exhibit remarkable reactivity toward propane and CO due to the unique delicate balance of C-H and C[double bond, length as m-dash]O bond activation. However, the simultaneous activation and cleavage of C-H, C-C, and C-O bonds on Pt/CeO-based catalysts may substantially impede the selective activation of C-H bonds during the CO-ODP process.
View Article and Find Full Text PDFThe Proximal Protonation Source in Cu-NHx-C Single Atom Catalysts Selectively Boosts CO2 to Methane Electroreduction.
Angew Chem Int Ed Engl
January 2025
Peking University Shenzhen Graduate School, Shool of Chemical Biology and Biotechnology, Lishui Road, Nanshan District, -, Shenzhen, CHINA.
Regulating the coordination environment of active sites has proved powerful for tapping into their catalytic activity and selectivity in homogeneous catalysis, yet the heterogeneous nature of copper single-atom catalysts (SACs) makes it challenging. This work reports a bottom-up approach to construct a SAC (rGO@Cu-N(Hx)-C) by inlaying preformed amine coordinated Cu2+ units into reduced graphene oxide (rGO), permitting molecular level revelation on how the proximal N-site functional groups (N-H or N-CH3) impact on the carbon dioxide reduction reaction (CO2RR). It is demonstrated that the N-H moiety of rGO@Cu-NHx-C can serve as an in-situ protonation agent to accelerate the CO2-to-methane reduction kinetics, delivering a methane current density (163 mA/cm2) 2.
View Article and Find Full Text PDFAnchoring Ag(I) into MOF-253 for Effectively Catalyzing Cycloaddition of CO with Alkynyl Alcohols/Amine under Ambient Conditions.
Inorg Chem
January 2025
Inner Mongolia Engineering Research Centre of Lithium-Sulfur Battery Energy Storage, Inner Mongolia Key Laboratory of Solid State Chemistry for Battery, College of Chemistry and Materials Science, Inner Mongolia Minzu University, Tongliao 028000, People's Republic of China.
In the era of global warming, the conversion of carbon dioxide into high-value products has become a widely scrutinized emerging mitigation strategy. Metalation of bpy-containing MOF-253 led to the synthesis of MOF-253-0.5Ag, which acts as an efficient catalyst for the carbonylative cyclization of CO with alkyne molecules (such as propynyl alcohols and propynyl amines) at room temperature and ambient CO pressure, yielding the corresponding α-alkyl cyclic carbonates and oxazolidinones, thus endowing the catalytic system with bifunctional characteristics.
View Article and Find Full Text PDFLimited reactivity of pyroxene and plagioclase in batch experiments with supercritical CO in the presence of NaCl and NaHCO in the context of CO sequestration via carbonation.
Environ Sci Pollut Res Int
January 2025
Council for Geoscience, Private Bag X112, Pretoria, 0001, South Africa.
One-step high-pressure and high-temperature direct aqueous mineral carbonation of tailings derived from mining of Platinum Group Metals in South Africa requires a fundamental understanding of the reactivity of the most dominant mineral phases, i.e. pyroxene and plagioclase (66 wt.
View Article and Find Full Text PDFPreparation, Thermal Properties and Decomposition Course of Highly Resistant Potato Starch Graft Poly(Cinnamyl Methacrylate) Materials.
Molecules
January 2025
Department of Polymer Chemistry, Institute of Chemical Sciences, Faculty of Chemistry, Maria Curie-Skłodowska University, Gliniana 33 Street, 20-614 Lublin, Poland.
The properties of starch graft poly(cinnamyl methacrylate) copolymers were presented. The "grafting from" method and different ratios of starch to methacrylic monomer were used. The copolymers with the maximum grafting percent (G: 55.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!