Theme |
Topics of colonoscopy -- devices and insertion techniques |
Title |
Basic technique for large-diameter colonoscopes |
Publish Date |
2018/11 |
Author |
Toyoki Kudo |
Digestive Disease Center, Showa University Northern Yokohama Hospital |
Author |
Naoya Toyoshima |
Digestive Disease Center, Showa University Northern Yokohama Hospital |
Author |
Yuichi Mori |
Digestive Disease Center, Showa University Northern Yokohama Hospital |
Author |
Masashi Misawa |
Digestive Disease Center, Showa University Northern Yokohama Hospital |
Author |
Noriyuki Ogata |
Digestive Disease Center, Showa University Northern Yokohama Hospital |
Author |
Tomokazu Hisayuki |
Digestive Disease Center, Showa University Northern Yokohama Hospital |
Author |
Takemasa Hayashi |
Digestive Disease Center, Showa University Northern Yokohama Hospital |
Author |
Kunihiko Wakamura |
Digestive Disease Center, Showa University Northern Yokohama Hospital |
Author |
Baba Toshiyuki |
Digestive Disease Center, Showa University Northern Yokohama Hospital |
Author |
Naruhiko Sawada |
Digestive Disease Center, Showa University Northern Yokohama Hospital |
Author |
Fumio Ishida |
Digestive Disease Center, Showa University Northern Yokohama Hospital |
Author |
Shin-ei Kudo |
Digestive Disease Center, Showa University Northern Yokohama Hospital |
[ Summary ] |
The shaft retention and shortening method is a basic technique for colonoscopic insertion. It is particularly advantageous in mastering this insertion method when we use large-diameter colonoscopes. It is necessary for beginners to understand the importance of "creating a good environment for scope insertion" and to identify the degree of "S-top". Furthermore, because "3S Insertion Technique" and "hooking the S-top technique" are procedures which form the basis of the shaft retention and shortening method, it is important for us to understand theory well enough and to learn through physical repetation. Also, we can insert the scope without putting a burden on the intestinal tract by utilizing help from assistants. Therefore, this maybe a shortcut for total colonoscopic safety, in order to learn proper "shaft retention and shortening method" and practice these procedures. |