Journal of Surgery Concepts & Practice >

2026 , Vol. 31 >Issue 02: 137 - 143

DOI: https://doi.org/10.16139/j.1007-9610.2026.02.07

Original article

Clinical research on the application of flushing strategy during colonoscopy

  • ZHANG Yajing ,
  • TAO Yifan ,
  • PAN Tong ,
  • TAO Dingxia ,
  • DAI Yancheng ,
  • ZHAO Hang
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  • 1 Department of Gastroenterology, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200071, China
    2 Department of Gastroenterology, Shanghai Qingpu Hospital of Traditional Chinese Medicine, Shanghai 201700, China
    3 Department of Gastroenterology, Shanghai Traditional Chinese Medicine-Integrated Hospital, Shanghai 200082, China

Received date: 2025-04-29

  Online published: 2026-06-23

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Abstract

Objective To investigate the impact of different flushing strategies on procedure time and polyp detection rate(PDR) during colonoscopy. Methods A multicenter prospective controlled study was conducted, enrolling 248 patients who underwent colonoscopy at three hospitals from 2023 August to 2024 January. The patients were assigned to research group and control group randomly. The research group received a thorough flushing strategy during colonoscopy, while the control group received a limited flushing strategy. Clinical data, endoscopic procedure time, and polyp detection results were recorded and compared between the two groups. Results A total of 248 patients were enrolled, with 125 in the research group and 123 in the control group. Baseline characteristics were comparable between the two groups. The research group demonstrated a significantly higher PDR compared to the control group (P<0.01). Among patients with detected polyps, the research group detected more small polyps in the left colon than the control group (P<0.05). Conclusions The flushing strategy during colonoscopy improves PDR and increases the detection of small polyps in the left colon without prolonging the total procedure time.

Key words： Colonoscopy; Bowel preparation; Flushing; Polyp detection rate(PDR); Quality control

Cite this article

ZHANG Yajing , TAO Yifan , PAN Tong , TAO Dingxia , DAI Yancheng , ZHAO Hang . Clinical research on the application of flushing strategy during colonoscopy[J]. Journal of Surgery Concepts & Practice, 2026 , 31(02) : 137 -143 . DOI: 10.16139/j.1007-9610.2026.02.07

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