TABLE 3.
Delivery methods | Advantages | Disadvantages |
Nasal tube |
Delivery without sedation Low costs Useful if patient unable to swallow |
Risk of vomiting and aspiration Lowest efficacy |
Endoscopy |
– It can be performed safely in patients at risk of post-colonoscopy complications |
– Discomfort associated with administration Risk of vomiting and aspiration Risk associated with the procedure Requires sedation |
Capsules |
Non-invasive process Time efficiency Convenient administration High cure rates Can be repeated easily |
Risk of vomiting and aspiration Capsules can be large with higher mass |
Colonoscopy |
Most effective method Can deliver fecal sample to the right colon Most preferred invasive method Can screen for other etiologies simultaneously |
Risks for intestinal perforation and bleeding Needs sedation Need for a board-certified gastroenterologist More costly Important to stop anti-coagulants Contraindications Requires bowel preparation |
Sigmoidoscopy |
No sedation required Can screen for distal 1/3rd colonic pathologies simultaneously |
Risk for intestinal perforation and bleeding Inability to use the area on the right side of the colon Need for a board-certified gastroenterologist Important to stop anti-coagulants Bowel preparation recommended |
Retention enema |
Low costs High tolerability Without sedation Easily repeated Can be done in pediatric patients that cannot have a colonoscopy |
– Retention difficulties in some cases Inability to use the area on the right side of the colon |