| [ Summary ] |
We describe how to overcome difficultes in passing a colonoscope through the sigmoid colon in complicated cases.
1) Conditions for TCS; One person technique; no fluoroscopy; no change in subject's position; use of premedications; use of stretchers; and performing approximately six total colonoscopies per hour. 2) Key factors for insertion technique; Do not decrease the degree of pressure conveyed to the tip of the scope; insert the device in such a manner as to capture the lumen in the right direction; and do not use the left turn push. 3) Insertion technique in practice; Technique for colonoscope insertion from the rectum to the SDJ, making full use of six basic patterns is shown. In difficult insertion cases, the basic technique is the same, except for putting more emphasis on pulling than pushing, as well as performing turning procedures, angle control, and a pushing-pulling of the scope more softly and in smaller increments. |