Table 3.
Causes for incomplete colonoscopy.
Cause | Patients, Number (%) | Details |
---|---|---|
Intraluminal obturation of tumor nature | 17 (33%) | Usually, these tumors require surgery and chemotherapy/radiotherapy. |
Extraluminal obturation (compression) from a tumor formation | 4 (8%) | These patients considered with tumor formation from the colon after incomplete colonoscopy to be correctly diagnosed with tumors of the stomach or ovaries. |
Stenotic changes of a non-tumor nature | 11 (21%) | Stenotic changes of a non-tumor nature include cases of Crohn’s disease and mucosal edema. The reasons for incomplete FCS are entirely inconsistent with the results of CT colonography. |
Congenital diseases with changes in the length of the lumen of the intestinal loops (dolichocolon, megacolon, Hirschsprung) | 7 (13%) | In 7 patients, the presence of dolicholone with exhaustion of the device was assumed to be the cause of incomplete FCS. CT colonography was normal in 4 of them, and in 3 patients, CT colonography established carcinoma of the cecum and carcinoma of the rectum, respectively. |
Subjective factors | 13 (25%) | Pain, poor preparation, contraindications. |