INTESTINE Vol.7 No.5(4-4)

特集名 Total colonoscopy -- 挿入理論とその応用
題名 挿入困難例とその克服方法 (4) 肝彎曲部から盲腸まで b. スライディングチューブ使用による挿入法
発刊年月 2003年 09月
著者 遠藤 豊 昭和大学藤が丘病院消化器内科
著者 船津 康裕 昭和大学藤が丘病院消化器内科
【 要旨 】 要旨はありません。
Theme Theory of insertion technique in total colonoscopy and its practical application
Title Colonoscopy insertion technique for difficult cases
Author Yutaka Endo Department of Gastroenterology, Showa University Fujigaoka Hospital
Author Yasuhiro Funatsu Department of Gastroenterology, Showa University Fujigaoka Hospital
[ Summary ] The success rate for total colonoscopy is higher than 99%. The reasons for insertion failure were colonic diverticular disease, postoperative adhesions and long colons. In this article the insertion technique for difficult cases, especially concerning passage of the hepatic flexure, were mentioned. There is no special insertion method, but the examiner can use ordinary techniques. Important points are air suction, deep breathing and sedative drugs, which help with abdominal relaxation. To preventing colonic loop formation, the mini-sliding tube, abdominal manipulation, and patient posture alteration are useful. The necessity of changing the scope type is very rare. The most important point for improving insertion rate is to select adequate techniques, considering the patient and scope status.