Quality of air contrast barium enema performed the same day as incomplete colonoscopy with air insufflation

Implementing screening for colorectal cancer

“…For every 10 people who test positive for faecal occult blood 1 will be found to have a cancer, 3 an adenoma >1 cm, 1 a small adenoma, and 5 a negative examination. If total colonoscopy is undertaken, all lesions detected can be biopsied or removed on the same day, and if the caecum is not reached and lesions have not been biopsied double contrast barium enema can be performed on the same day 7. If double contrast barium enema and flexible sigmoidoscopy are undertaken on the same day, the barium enema cannot precede sigmoidoscopy and polypectomy cannot be performed.…”

An Old Lady with Pencil-Thin Stool

“…Radiologists often complain about residual air in the colon after failed colonoscopy or sigmoidoscopy prior to air-contrast barium enema (ACBE). However, the feasibility of same-day flexible sigmoidoscopy and ACBE is well established [5], and we have shown in a controlled trial that patients who had failed colonoscopies had ACBEs of equal quality regardless of whether the ACBE was performed on the same day or another day [6].…”

Spiral overtube–assisted colonoscopy after incomplete colonoscopy in the redundant colon

“…3 Alternate tools such as barium enema and CT colography remain available to visualize the right side of the colon in the setting of an incomplete optical colonoscopy, but these tests incur additional expense and add discomfort and a small risk. 4,5 In addition, abnormalities found during these procedures may still need to be resolved by repeat colonoscopy or surgery.…”