1/14 "In defense of Simethicone" - a Tweetorial for #GITwitter, #Gastroenterology - Instead of focusing on why we can't use Simethicone, I'll try to show you why we (endoscopists) should put it in the water, if u haven't, or re-start if you stopped. 2/14 - When you are doing a colonoscopy, bubbles are your enemy. There are now countless studies showing that adding simethicone improves both colon prep, inspection time, and most improtantly - Adenoma Detection Rate.