Method of colonoscopy in 42 consecutive patients presenting after prior incomplete colonoscopy

Douglas K. Rex, Brody W. Goodwine

Research output: Contribution to journalArticle

48 Scopus citations

Abstract

OBJECTIVES: Cecal intubation is one of the goals of colonoscopy. We sought to describe the methodology used by a single experienced examiner to perform colonoscopy in a consecutive group of patients with challenging colons. METHODS: Records of 42 consecutive patients with one or more prior unsuccessful attempts at colonoscopy by a gastroenterologist or surgeon and referred for a repeat attempt at colonoscopy were reviewed. RESULTS: Colonoscopy was complete to the cecum in 40 of the 42 patients (95%). An array of methods was employed, including propofol sedation (n = 2), pediatric colonoscope (n = 8), an external straightener (n = 9), external straightener with pediatric colonoscope (n = 2), upper endoscope (n = 8), guidewire exchange (n = 3), and enteroscope with a colon straightener (n = 1) or an enteroscope straightener (n = 1). CONCLUSIONS: A variety of methods and instruments were employed to achieve a high cecal intubation rate during colonoscopy in a group of patients with prior incomplete colonoscopies. Others may find one or more of these methods useful in patients with challenging colons.

Original languageEnglish (US)
Pages (from-to)1148-1151
Number of pages4
JournalAmerican Journal of Gastroenterology
Volume97
Issue number5
DOIs
StatePublished - May 18 2002

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ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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