Spending less for rescuing a failed colonoscopy.

摘要

I read with interest the two recent articles by Schembre et al and Keswani on how to tackle the problem of a failed regular colonoscopy procedure. Schembre et al used spiral enteroscopy as a rescue method and achieved a 92% cecal intubation rate in 24 patients. In a randomized, controlled trial of 30 patients with prior unsuccessful regular colonoscopy procedures, Keswani demonstrated that single-balloon enteroscopy was superior to repeating regular colonoscopy in achieving a higher cecal intubation rate (92.9% in single-balloon enteroscopy vs 50% in regular colonoscopy group). However, both studies failed to mention a simple and less-expensive method for dealing with this situation.