Retrospective Study
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jul 7, 2015; 21(25): 7834-7841
Published online Jul 7, 2015. doi: 10.3748/wjg.v21.i25.7834
When and why a colonoscopist should discontinue colonoscopy by himself?
Tao Gan, Jin-Lin Yang, Jun-Chao Wu, Yi-Ping Wang, Li Yang
Tao Gan, Jin-Lin Yang, Jun-Chao Wu, Yi-Ping Wang, Li Yang, Division of Gastroenterology and Hepatology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Gan T and Yang JL contributed equally to this work; Wu JC, Wang YP and Yang L designed the research; Gan T, Yang JL and Wu JC performed the research; Gan T, Yang JL and Yang L analyzed the data; and Gan T and Yang JL wrote the paper.
Ethics approval: The study was reviewed and approved by the Huaxi Hospital Institutional Review Board.
Informed consent statement: All study participants provided informed written consent prior to their colonoscopy examination.
Conflict-of-interest statement: No conflict-of-interest exists.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Li Yang, Professor, Division of Gastroenterology and Hepatology, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Chengdu 610041, Sichuan Province, China. yangli_hx@scu.edu.cn
Telephone: +86-28-85423387 Fax: +86-28-85423387
Received: October 27, 2014
Peer-review started: October 28, 2014
First decision: December 26, 2014
Revised: April 3, 2015
Accepted: May 21, 2015
Article in press: May 21, 2015
Published online: July 7, 2015
Core Tip

Core tip: This original article investigated when and why a colonoscopist should discontinue incomplete colonoscopy by himself. If freedom of the colonoscope body’s insertion and rotation is lost because of unfavorable factors, such as fixation, tortuosity, laxity, and redundancy occurring in the colon, and the insertion time is prolonged > 30 min after repeated attempts by the 4th-level colonoscopists, we suggest the colonoscopy should be discontinued by the colonoscopist.