| Theme | Painless colonoscopy insertion method -- technique & device | |
|---|---|---|
| Title | Painless colonoscopy without analgesics or sedatives | |
| Publish Date | 2020/06 | |
| Author | Hiro-o Matsushita | Digestive Disease Center, Akita Red Cross Hospital |
| Author | Kenjiro Yoshikawa | Digestive Disease Center, Akita Red Cross Hospital |
| Author | Bunichiro Kato | Digestive Disease Center, Akita Red Cross Hospital |
| Author | Akio Masuda | Digestive Disease Center, Akita Red Cross Hospital |
| Author | Hiroshi Hashimoto | Digestive Disease Center, Akita Red Cross Hospital |
| Author | Kota Yamazaki | Digestive Disease Center, Akita Red Cross Hospital |
| Author | Ryo Takagi | Digestive Disease Center, Akita Red Cross Hospital |
| Author | Yoshihito Tanaka | Digestive Disease Center, Akita Red Cross Hospital |
| Author | Haruka Yorozu | Digestive Disease Center, Akita Red Cross Hospital |
| [ Summary ] | Two factors cause pain during endoscopy, namely, stimulus during insertion and threshold of the patient. The former is a technical factor associated with intestinal hyperextension by the endoscopist, whereas the latter is a patient-related factor. The majority of the factors associated with pain are attributed to the technical factor. For painless insertion, the endoscopist must make efforts to master the insertion technique. Specifically, it is important to acquire the insertion technique based on the adjustment of the colonoscope direction to the colon axis faithfully to the basics, and to acquire the technique to change the insertion method flexibly if necessary. It is also important that all staff members create a favorable environment to relieve patient anxiety. Painless colonoscopy can be performed by ensuring these two factors. | |