Colonoscopy is an established procedure for investigating patients with diseases of the colon and terminal ileum, including patients with prior colonic adenomas or cancer, fecal occult blood loss, a family history of cancer, inflammatory bowel disease, evaluation of iron deficiency anemia and patients with hematochezia. However, although it is expected that endoscopists should be able to intubate the cecum in 90% of attempts, in practice this is followed less often than not. On several occasions even a complete colonoscopic examination may not be possible or may not show any abnormality in patients with hematochezia. Moreover, during active bleeding subtle changes in the colon may not be appreciated and sometimes even gross lesions may be missed.
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