| Theme |
Theory of insertion technique in total colonoscopy and its practical application |
| Title |
Insertion techniques for total colonoscopy using abdominal compression and posture changing |
| Author |
Takahisa Matsuda |
Department of Endoscopy, National Cancer Center Hospital |
| Author |
Takahiro Fujii |
Department of Endoscopy, National Cancer Center Hospital |
| Author |
Takahiro Kozu |
Department of Endoscopy, National Cancer Center Hospital |
| Author |
Yutaka Saito |
Department of Endoscopy, National Cancer Center Hospital |
| [ Summary ] |
Colonoscopy is a superior tool for detection, diagnosis and treatment of colorectal lesions. However, the insertion techniques are sometimes difficult for patients who undergo abdominal or pelvic surgery or have long intestines. For such cases, abdominal manipulation and posture changing are useful in performing total colonoscopies. When the scope cannot easily pass through an angle, passage may be facilitated by abdominal compression with the patient in a suitable position. Furthermore, if passage is still difficult, it is useful to lie the patient on his or her back or turn them from their left-side onto a right-side position, as gravity may help to straighten an acute angle. Colonoscopists should know the basic anatomic features of the colorectum in order to use this insertion technique. However, it is essential to remember that this technique should be performed based on "maintaining the axis and shortening" method. |