Introduction
PDR, polyp, colorectal diseasesTo, abdominal pain
SECONDARY
Colonoscopy is the most important examination in the diagnosis, follow-up, and treatment of colorectal diseasesTo overcome the shortcomings of the WE method, we have modified the procedure such that water exchange is performed only in the sigmoid colon. This study aimed to determine whether sigmoid colon water exchange (SWE) can reduce abdominal pain during colonoscopy and to assess its effects on secondary outcomes, including insertion time, cecal intubation rate, polyp detection rate (PDR), and the need for assisted maneuvers, such as abdominal pressure, application of an endoscope stiffener, and changing the position of the patient.