Use of New Short Bend ESD Colonoscope in Patients with Failed Colonoscopy: A Pilot Study

Background: Colonoscopy is a common procedure that allows for the detection of colon polyps and other gastrointestinal diseases.However, a failed colonoscopy can occur due to various factors such as diverticular disease, tortuosity, angulation, or fixation of bowel loops, and more.This study aims to evaluate the use of a new short-bend Endoscopic Submucosal Dissection (ESD) scope (PCF-H190T, Olympus America) in patients who failed their initial colonoscopy to assess for cecal intubation success.Methods: Six patients with incomplete colonoscopy due to severe diverticular stenosis and sharp bends were referred for a repeat colonoscopy.These six patients underwent a repeat colonoscopy utilizing a new short-bend ESD colonoscope.Demographic data, indication for colonoscopy, reason for initial failure, and complications with colonoscopy were all analyzed.Results: All six consecutive patients achieved successful cecal intubation using the new short bend ESD colonoscope without any major complications. Conclusions:The use of short-bend ESD colonoscope allows for increased success with cecal intubation on subsequent attempts, especially in those patients who have failed an initial colonoscopy due to sharp bends or diverticular disease.