Incomplete Colonoscopies

Approximately 1.6%-10% of colonoscopies are incomplete.([FOOTNOTE= Chong A, Shah JN, Levine MS, Rubesin SE, Laufer I, Ginsberg GG, et al. Diagnostic yield of barium enema examination after incomplete colonoscopy. Radiology.. 2002;223(3):620-624],[ANCHOR=],[LINK=]),([FOOTNOTE=Kao KT, Tam M, Sekhon H, Wijeratne R, Haigh PI, Abbas MA. Should barium enema be the next step following incomplete colonoscopy? International J Colorectal Disease. 2010.],[ANCHOR=],[LINK=]),([FOOTNOTE=Neerincx M, Terhaar sive Droste JS, Mulder CJ, Räkers M, Bartelsman JF, Loffeld RJ, et al. Colonic work-up after incomplete colonoscopy: significant new findings during follow-up. Endoscopy. 2010;42:730-5.],[ANCHOR=],[LINK=]) Factors related to incomplete colonoscopy include patient anatomy, disease-related factors, obesity, and increased age.4,([FOOTNOTE=Shah HA, Paszat LF, Saskin R, Stukel TA, Rabeneck L. Factors associated with incomplete colonoscopy: a population-based study. Gastroenterology. 2007 Jun;132(7):2297-2303. Epub 2007 Mar 21. ],[ANCHOR=],[LINK=]),([FOOTNOTE=Gupta M, Holub JL, Eisen G. Do indication and demographics for colonoscopy affect completion? A large national database evaluation. Eur J Gastroenterol Hepatol. 2010 May;22(5):620-627. doi: 10.1097/MEG.0b013e3283352cd6. ],[ANCHOR=],[LINK=]),([FOOTNOTE=Cardin F, Minicuci N, Andreotti A, Pinetti E, Campigotto F, Donà BM, et al. Maximizing the general success of cecal intubation during propofol sedation in a multi-endoscopist academic centre. BMC Gastroenterol. 2010 Oct 20;10:123. doi: 10.1186/1471-230X-10-123. ],[ANCHOR=],[LINK=])

Care Continuum

Diagnostic Tools

Elevated Risk

Approximately 3.3 million patients have a colonoscopy for a lower bleeding indication.7 Complications shown in patients include GI and non-GI adverse events, such as bleeding, perforation, and cardio-pulmonary complications.([FOOTNOTE=Ko C, Riffle S, Michaels L, Morris C, Holub J, Shapiro J, et al. Serious complications within 30 days of screening and surveillance colonoscopy are uncommon. Clin Gastroenterol Hepatol. 2010 February;8(2):166. ],[ANCHOR=],[LINK=]),([FOOTNOTE=Gatto NM, Frucht H, Sundararajan V, Jacobson JS, Grann VR, Neugut AI. Risk of perforation after colonoscopy and sigmoidoscopy: a population-based study. J Natl Cancer Inst. 2003;95(3):230-236. ],[ANCHOR=],[LINK=]),([FOOTNOTE=Day LW, Kwon A, Inadomi JM, Walter LC, Somsouk M. Adverse events in older patients undergoing colonoscopy: a systematic review and meta-analysis. Gastrointestinal Endoscopy. 2011;74(4):885-896.  ],[ANCHOR=],[LINK=]),([FOOTNOTE=Johnson D, Lieberman D, Pochapin M, Robertson D, Gross S, Inadomi J, et al. Occurrence of delayed non-GI events post-colonoscopy and patients with identifiable increased risk. Am J Gastroenterol. 2014;109:S629-S680; doi:10.1038/ajg.2014.280.],[ANCHOR=],[LINK=])

Care Continuum

Diagnostic Tools