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

Schembre, Drew; Ross, Andrew; Glück, Michael; Brandabur, John J.; McCormick, Susan E.; Lin, Otto S.

doi:10.1016/j.gie.2010.11.047

Cited by 34 publications

(17 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We and others have shown that repeat colonoscopy is successful in a large majority of patients referred for prior incomplete procedures utilizing specialty endoscopes [11-15,18]. A limitation of these studies is that they often rely exclusively on studying specialty endoscopes whereas in daily practice there are a full range of other standard endoscopes which may facilitate cecal intubation with careful attention to technique.…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopic modalities include the use of smaller caliber colonoscopes, overtubes, fluoroscopy, or single and double balloon colonoscopy. There have been numerous studies reporting successful colonoscopy with specialty endoscopes in patients with a previous incomplete colonoscopy [11-16,18]. However, modalities used in clinical practice vary based upon the individual patient and are often limited based on available institutional expertise.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

High success rate of repeat colonoscopy with standard endoscopes in patients referred for prior incomplete colonoscopy

2014

View full text Add to dashboard Cite

BackgroundIn patients with incomplete colonoscopy, cecal intubation is sometimes unsuccessful due to a redundant or tortuous colon. Repeat colonoscopy may be successful with the use of alternate endoscopes or careful attention to technique but limited outcomes data is available. The aim of this study was to describe the technique, success rate and outcomes of consecutive patients referred for previous incomplete colonoscopy.MethodsWe conducted a retrospective chart review of incomplete colonoscopy procedures in patients age 18-90 at an academic teaching hospital referred to an endoscopist specializing in difficult colonoscopy.ResultsCecal intubation was successful in 96 of 100 repeat colonoscopies and 83 procedures were completed with a standard endoscope (adult, pediatric, or gastroscope). The adenoma detection rate was 28% for successful repeat colonoscopies; a majority of these patients had no adenomas identified on incomplete exam. In 69.4% of cases, an endoscope was used to successfully complete colonoscopy that was not used in the incomplete colonoscopy. The median insertion time was significantly less for the complete colonoscopy (10.6 min) compared to the incomplete colonoscopy (18.8 min, P = 0.004).ConclusionsRepeat colonoscopy has a high success rate and identified a significant number of new adenomas. Use of all available endoscopes should be considered prior to procedure termination in patients with a tortuous colon. Repeat colonoscopy can often be accomplished using a standard endoscope and is not attributed to increased endoscope insertion time.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

High success rate of repeat colonoscopy with standard endoscopes in patients referred for prior incomplete colonoscopy

2014

View full text Add to dashboard Cite

show abstract

“…However, this was a retrospective study in a small number of patients, and 1 endoscopist with many years of experience in colonoscopy performed most of the examinations. countered [14,15] . During colonoscope insertion, the scope may bend or form large loops in patients with an elongated colon.…”

Section: Applicationsmentioning

confidence: 99%

Clinical usefulness of single-balloon endoscopy in patients with previously incomplete colonoscopy

Kobayashi

Mukae²,

Ogawa³

et al. 2013

WJGE

View full text Add to dashboard Cite

AIM:To evaluate the clinical usefulness of singleballoon endoscopy (SBE) in patients in whom a colonoscope was technically difficult to insert previously. METHODS:The study group comprised 15 patients (8 men and 7 women) who underwent SBE for colonoscopy (30 sessions). The number of SBE sessions was 1 in 7 patients, 2 in 5 patients, 3 in 1 patient, 4 in 1 patient, and 6 in 1 patient. In all patients, total colonoscopy was previously unsuccessful. The reasons for difficulty in scope passage were an elongated colon in 6 patients, severe intestinal adhesions after open surgery in 4, an elongated colon and severe intestinal adhesions in 2, a left inguinal hernia in 2, and multiple diverticulosis of the sigmoid colon in 1. Three endoscopists were responsible for SBE. The technique for inserting SBE in the colon was basically similar to that in the small intestine. The effectiveness of SBE was assessed on the basis of the success rate of total colonoscopy and the presence or absence of complications. We also evaluated the diagnostic and treatment outcomes of colonoscopic examinations with SBE. RESULTS:Total colonoscopy was successfully accomplished in all sessions. The mean insertion time to the cecum was 22.9 ± 8.9 min (range 9 to 40). Abnormalities were found during 21 sessions of SBE. The most common abnormality was colorectal polyps (20 sessions), followed by radiation colitis (3 sessions) and diverticular disease of the colon (3 sessions). Colorectal polyps were resected endoscopically in 15 sessions. A total of 42 polyps were resected endoscopically, using snare polypectomy in 32 lesions, hot biopsy in 7 lesions, and endoscopic mucosal resection in 3 lesions. Fifty-six colorectal polyps were newly diagnosed on colonoscopic examination with SBE. Histopathologically, these lesions included 2 intramucosal cancers, 42 tubular adenomas, and 2 tubulovillous adenomas. The mean examination time was 48.2 ± 20.0 min (range 25 to 90). Colonoscopic examination or endoscopic treatment with SBE was not associated with any serious complications.CONCLUSION: SBE is a useful and safe procedure in patients in whom a colonoscope is technically difficult to insert.

show abstract

“…9 Some previous studies have described techniques and yields of repeat colonoscopy in patients with prior incomplete colonoscopies 6,[16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] . Our series has several strengths, including its large size (this series accounts for more than half of all reported cases) and referral of all cases from other gastroenterologists and surgeons.…”

mentioning

confidence: 99%

Regional center for complex colonoscopy: yield of neoplasia in patients with prior incomplete colonoscopy

Bick

Vemulapalli

Rex

2016

Gastrointestinal Endoscopy

View full text Add to dashboard Cite

show abstract

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

Cited by 34 publications

References 17 publications

High success rate of repeat colonoscopy with standard endoscopes in patients referred for prior incomplete colonoscopy

High success rate of repeat colonoscopy with standard endoscopes in patients referred for prior incomplete colonoscopy

Clinical usefulness of single-balloon endoscopy in patients with previously incomplete colonoscopy

Regional center for complex colonoscopy: yield of neoplasia in patients with prior incomplete colonoscopy

Contact Info

Product

Resources

About