In the article titled "Management of Lead Poisoning From Ingested Fishing Sinkers," in the May 1998 issue of the ARCHIVES, Mowad et al strive to "describe what is, to our knowledge, the first reported case of lead poisoning from ingested fishing sinkers in an 8-year-old boy for whom whole bowel irrigation and colonoscopy were required."1(p485) While the report makes several interesting and important points, I take issue with the requirement, or even the advisability, of colonoscopy for this indication.