Endoscopy 2020; 52(S 01): S45
DOI: 10.1055/s-0040-1704139
ESGE Days 2020 oral presentations
Thursday, April 23, 2020 14:30 – 16:00 Twist and shout through the bowel Liffey Meeting Room 1
© Georg Thieme Verlag KG Stuttgart · New York

USE OF ENTEROSCOPE WITHOUT THE OVERTUBE IN INCOMPLETE COLONOSCOPIES

F Purchiaroni
1   Università Cattolica del Sacro Cuore-Policlinico Agostino Gemelli, Endoscopy, Rome, Italy
,
S Conti
1   Università Cattolica del Sacro Cuore-Policlinico Agostino Gemelli, Endoscopy, Rome, Italy
,
G Valerii
1   Università Cattolica del Sacro Cuore-Policlinico Agostino Gemelli, Endoscopy, Rome, Italy
,
G Costamagna
1   Università Cattolica del Sacro Cuore-Policlinico Agostino Gemelli, Endoscopy, Rome, Italy
,
ME Riccioni
1   Università Cattolica del Sacro Cuore-Policlinico Agostino Gemelli, Endoscopy, Rome, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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    Aims Colonoscopy is the gold standard diagnostic method for colorectal cancer screening. The quality of such procedure depends on different factors, including endoscopist’s skills and caecal intubation rate. Despite the progress in the endoscopy technology field, a small percentage of colonoscopies is still incomplete. The reasons for that are mostly associated to anatomic features, such as fixed, angulated, long and loopy colon, intra-abdominal adherences and female gender. To overcome such difficulties, the usefulness of scopes different from conventional colonoscope (CF), such as paediatric colonoscope (PCF), gastroscope (GIF), single and double balloon enteroscope (SBE and DBE, respectively), has been shown in literature. Our retrospective study aims to evaluate the caecal intubation rate using a SBE without the overtube in patients who previously underwent an incomplete procedure with a different scope.

    Methods Patients with a previous incomplete colonoscopy with CF, PCF, GIF or a combination of them, were retrospectively enrolled through the analysis of a dedicated database. The enteroscope used was the Olympus Enteropro Single Balloon SiF-Q180 with no overtube. Complete colonoscopy was defined as successful caecal intubation.

    Results SBE with no overtube was used to scope 47 adult patients, mostly female (77%), and it led to a complete procedure in 91% of them (43 over 47). The most frequent reason (75%) for an incomplete procedure even with the use of SBE was a fixed and angulated colon (3 over 4 patients).

    Conclusions Colonoscopy performed with SBE without the overtube was safe and no adverse events during and/or after the procedure occurred. Our results suggest that SBE with no overtube, which is thinner and longer compared to CF and PCF and a less expensive option compared to SBE and DBE, is a useful and valid alternative to other type of scopes in difficult cases, especially those related to fixed/angulated colon and in female gender.


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