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

Publication ,  Journal Article
Gawron, AJ; Veerappan, A; Keswani, RN
Published in: BMC Gastroenterol
March 29, 2014

BACKGROUND: In 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. METHODS: We 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. RESULTS: Cecal 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). CONCLUSIONS: Repeat 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.

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Published In

BMC Gastroenterol

DOI

EISSN

1471-230X

Publication Date

March 29, 2014

Volume

14

Start / End Page

56

Location

England

Related Subject Headings

  • Young Adult
  • Retrospective Studies
  • Middle Aged
  • Male
  • Humans
  • Gastroscopes
  • Gastroenterology & Hepatology
  • Female
  • Colorectal Neoplasms
  • Colonoscopy
 

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Gawron, A. J., Veerappan, A., & Keswani, R. N. (2014). High success rate of repeat colonoscopy with standard endoscopes in patients referred for prior incomplete colonoscopy. BMC Gastroenterol, 14, 56. https://doi.org/10.1186/1471-230X-14-56
Gawron, Andrew J., Annapoorani Veerappan, and Rajesh N. Keswani. “High success rate of repeat colonoscopy with standard endoscopes in patients referred for prior incomplete colonoscopy.BMC Gastroenterol 14 (March 29, 2014): 56. https://doi.org/10.1186/1471-230X-14-56.
Gawron, Andrew J., et al. “High success rate of repeat colonoscopy with standard endoscopes in patients referred for prior incomplete colonoscopy.BMC Gastroenterol, vol. 14, Mar. 2014, p. 56. Pubmed, doi:10.1186/1471-230X-14-56.
Journal cover image

Published In

BMC Gastroenterol

DOI

EISSN

1471-230X

Publication Date

March 29, 2014

Volume

14

Start / End Page

56

Location

England

Related Subject Headings

  • Young Adult
  • Retrospective Studies
  • Middle Aged
  • Male
  • Humans
  • Gastroscopes
  • Gastroenterology & Hepatology
  • Female
  • Colorectal Neoplasms
  • Colonoscopy