Table 5.
Summary of available literature. DY, diagnostic yield; n/s, not specified.
| Authors, Year | Country | Type of Study | No. Of Patients (M/F) | Age: Mean ±SD Or Median (Range in Years) |
Type of Endoscope | Caecal Intubation Rate, n (%) |
Time to Caecum: Mean ±SD Or Median (Range in Min) |
DY Of BAC (n) | Interventions Performed (n) | Adverse Events, (n) |
|---|---|---|---|---|---|---|---|---|---|---|
| May et al., 2006 [13] | Germany | Prospective, Single Centre |
14 (6/8) | 62 ± 15 | Single Balloon | 14/14 (100) | n/s | Polyps (6) IBD (3) Cancer (2) |
Polypectomy (6) Biopsy (5) |
Polypectomy Bleeding (1) |
| Kaltenbach et al., 2006 [14] | USA | Prospective, Single Centre |
20 (16/4) |
66 ± 12 | Single Balloon | 19/20 (95) | 28 ± 20 | Significant (7) (Polyps (5) Ibd (2)) |
Polypectomy (5) Biopsy (1) |
None |
| Das 2007 [15] | USA |
n/s, Single Centre |
16 (n/s) | n/s | Double Balloon | 14/16 (87.5) | 27 ± 9.5 | n/s | Polypectomy (6) Haemostasis (1) |
None |
| Gay & Delvaux, 2007 [16] | France | Retrospective, Single Centre |
29 (5/24) | 54±17 | Double Balloon | 28/29 (96.6) | 18 ± 14 | Diverticulosis (7) Polyps (4) IBD (2) |
Biopsy (8) APC (2) Polypectomy (2) |
None |
| Moönkemuüller et al., 2007 [17] | Germany |
n/s, Single Centre |
7 (3/4) | 64(50–75) | Double Balloon | 7/7 (100) |
15 (9–25) | Diverticulosis (2) Polyps (2) Stenosis (2) |
n/s | n/s |
| Pasha et al., 2007 [18] | USA | Retrospective, Single Centre |
16 (5/11) | 69 ± 12 | Double Balloon | 14/16 (87.5) | 27 ± 9.5 | n/S | Polypectomy (6) APC (1) |
n/s |
| Moreels & Pelckmans, 2008 [19] | Belgium | Retrospective, Single Centre |
26 (n/s) | n/s | Double Balloon | 23/26 (89) | n/s | n/S | n/s | n/s |
| Moreels et al. 2010 [20] | Belgium | Prospective, Single Centre |
45 (28/17) | 63 ± 2 | Double Balloon | 42/45 (93.3) | n/s | Polyps (18) | Polypectomy (18) APC (3), Biopsy (2) |
None |
| Teshima et al., 2010 [10] | Netherlands | Prospective, Single Centre |
23 (14/8) | 53(19–75) | Single Balloon | 22/23 (96) | 30 (20–60) | Polyps (6) IBD (5) Diverticulosis (2) |
Polypectomy (6) Dilation (1) |
None |
| Matsushita et al., 2011 [21] | Japan | Retrospective, Single Centre |
24 (n/s) | n/s | Double Balloon | 24/24 (100) | 17 | n/S | 17 Interventions (n/s) | n/s |
| Keswani et al., 2011 [22] | USA | Prospective, Single Centre |
14 (4/10) | 58.5 ± 12.5 (35–74) | Single Balloon | 13/14 (92.9) | 22 ± 18 (10–81) | Polyps (7) | n/s | None |
| Dzeletovic et al., 2012 [23] | USA | Retrospective, Single Centre |
53 (12/41) | 71(43–83) | Single Balloon& Double Balloon | 51/53 (96) (26/26 SBC, 25/27 DBC) | 19 (7–58) | Polyps (32) Diverticulosis (21) |
Polypectomy (37) | None |
| Goómez et al., 2012 [24] | USA | Retrospective, Single Centre |
45 (21/24) | 67(21–84) | Double Balloon | 46/51 (90) | n/s | Polyps (28) Angiectasia (5) |
Polypectomy (28) | None |
| Hotta et al., 2012 [25] | Japan | Prospective, Multicentre |
110 (62/48) | 66.5(27–79) | Double Balloon | 110/110 (100) | 12 (4–47) | Polyps (55) Cancer (5) |
Polypectomy (45) Biopsy (8) |
Mild Mucosal Injury (1) |
| Suzuki et al., 2012 [26] | Japan | Prospective, Single Centre |
47 (22/25) | 63.4 ± 10.9 | Double Balloon | 47/47 (100) | 13.0 ± 5.3 | Polyps (21) C ancer (1) |
Polypectomy/Resection (6) Further Surgery (1) |
None |
| Kobayashi et al., 2013 [27] | Japan | n/sSingle Centre | 15 (8/7) | 65.7 ± 8.7 (38–81) | Single Balloon | 15/15 (100) | 22.9 ± 8.9 (9–40) | Polyps Radiation Colitis (3) Diverticulosis (3) |
Polypectomy (N/S) Biopsy (N/S) |
None |
| Yamada et al., 2013 [28] | Japan | Prospective, Single Centre |
21 (n/s) | 71.5 ± 7.8 | Single Balloon& Double Balloon | 20/21 (95) | 12.8 (9.5–42) | Polyps (8) Diverticulosis (7) Cancer (1) |
Polypectomy (8) Biopsy (1) |
None |
| Becx & Al-Toma, 2014 [29] | Netherlands | Retrospective, Single Centre |
114 (45/69) | 64.8(31–91) | Double Balloon | 101/114 (88.6) | n/s | New Diagnoses (55) | Polypectomy (51) Further Surgery (7) |
Bleeding with Spontaneous Resolution (2) |
| Nemoto et al., 2014 [30] | Japan | Prospective, Single Centre |
28 (14/14) | 74(35–88) | Double Balloon | 28/28 (100) | 16 (6–66) | n/S | n/s | None |
| Yung et al., 2016 [11] | UK | Retrospective, Single Centre |
57 (26/31) | 62.9(20–89) | Double Balloon | 55/57 (96.5) | n/s | 29 | Polypectomy/APC (22) | None |
| Sulz et al., 2016 [31] | Switzerland | Retrospective, Single Centre |
100 (46/54) | 70(38–87) | Single Balloon | 98/100 (98) | 27.5 (4–92) | Diverticulosis (54) Polyps (47), Colitis (4) Cancer (1) |
Polypectomy (45) APC (1) |
Mucosal Defect After Polypectomy (1) Haematochezia (1) |
| Despott et al., 2017 [32] | UK | Prospective, Single Centre |
22 (7/15) | 68 ± 10 | Double Balloon | 22/22 (100) | 17.5 (16.0–23.7) | n/S | n/s | n/s |
| Hermans et al., 2018 [33] | Netherlands | Retrospective, Single Centre |
61 (34/27) | 65(29–82) | Double Balloon | 60/63 (95) | n/s | Polyps (34) Cancer (3) |
Polypectomy (34) Biopsy (3) |
Bleeding at Polypectomy (1) |
| Robertson et al., 2020 | UK/Sweden | Retrospective, Multicentre |
122 (56/66) | 64.4 ± 12.3 | Single Balloon& Double Balloon | 113/122 (92.6) | 20.9 ± 13.5 | Polyps (67) , Cancer (4) Colitis (13), Diverticulosis (11) Angiectasia (5) |
Polypectomy (60) APC (4) Biopsy |
Vasovagal Reaction During Polypectomy (1) |