Utility of Single and Double Balloon Endoscopy in Patients with Difficult Colonoscopy: a Randomized Controlled Trial

Overview

Journal World J Gastroenterol

Publisher Baishideng Publishing Group

Specialty Gastroenterology

Date 2013 Aug 8

PMID 23922470

Citations 13

Authors

Atsuo Yamada

Hirotsugu Watabe

Noriyuki Takano

Goichi Togo

Yutaka Yamaji

Haruhiko Yoshida

Takao Kawabe

Masao Omata

Kazuhiko Koike

Affiliations

Soon will be listed here.

Abstract

Aim: To compare the utility of single-balloon colonoscopy (SBC) or double-balloon colonoscopy (DBC) for difficult colonoscopies.

Methods: Between August 2008 and June 2010, patients in whom total colonoscopy failed within 30 min of insertion were assigned randomly to undergo either SBC or DBC. No sedatives were used. After the endoscopy, all patients were asked to evaluate pain during the procedure on a 10-point analog scale (1 = no pain; 10 = worst imaginable pain) with a questionnaire. The study outcomes were the cecal intubation rate and time, endoscopic findings, complications, and pain score.

Results: The SBC and DBC groups included 11 and 10 patients, respectively. All but one SBC patient achieved total colonoscopy successfully. The cecal intubation times were 18 min (range: 10-85 min) and 12.8 min (range: 9.5-42 min) in the SBC and DBC groups, respectively (P = 0.17). No difference was observed in the prevalence of colon polyps between the SBC and DBC groups (45% vs 30%, P = 0.66). SBC showed advanced colon cancer in the ascending colon, which was inaccessible using conventional colonoscopy. The respective pain scores were 5 (1-10) [median (range)] and 5 (1-6) in the SBC and DBC groups (P = 0.64). No complications were noted in any patient.

Conclusion: The utility of single- and double-balloon endoscopy for colonoscopy seems comparable in patients with incomplete colonoscopy using a conventional colonoscope.

Citing Articles

The Evolution of Device-Assisted Enteroscopy: From Sonde Enteroscopy to Motorized Spiral Enteroscopy.

Nehme F, Goyal H, Perisetti A, Tharian B, Sharma N, Tham T Front Med (Lausanne). 2022; 8:792668.

PMID: 35004760 PMC: 8733321. DOI: 10.3389/fmed.2021.792668.

Balloon-Assisted Colonoscopy after Incomplete Conventional Colonoscopy-Experience from Two European Centres with A Comprehensive Review of the Literature.

Robertson A, Koulaouzidis A, Yung D, Fraser C, Nemeth A, Trimble K J Clin Med. 2020; 9(9).

PMID: 32942749 PMC: 7564861. DOI: 10.3390/jcm9092981.

Efficacy and suitable indication of colorectal endoscopic submucosal dissection using a balloon-assisted endoscope.

Kuroki Y, Asonuma K, Uehara N, Endo T, Suzuki R, Yamamoto Y JGH Open. 2020; 4(2):185-190.

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When Colonoscopy Fails… Refer, Repeat, and Succeed.

Awadie H, Bourke M GE Port J Gastroenterol. 2018; 25(6):279-281.

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Double-Balloon Endoscopy after Incomplete Colonoscopy and Its Comparison with Computed Tomography Colonography.

Hermans C, van der Zee D, Gilissen L Clin Endosc. 2018; 51(1):66-71.

PMID: 29316779 PMC: 5806920. DOI: 10.5946/ce.2017.011.

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