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

Theme Theory of insertion technique in total colonoscopy and its practical application
Title Ultra-thin colonoscope insertion method for difficult cases
Publish Date 2003/09
Author Yoshiharu Uno Department of Gastroenterology, Toho University School of Medicine / Division of Gastroenterology, Takahashi Hospital
[ Summary ] Many patients wanting comfortable and complete pancolonoscopy visited the author's hospital because of their previous experiences with painful and/or incomplete colonoscopies in other institutions.
Most difficulties with colonoscopy are related to defective fixation, which leads to abnormal positioning of the colonic segment, or to a relatively fixed colon, secondary to serosal adhesions from polysurgery in the abdomen.
Total colonoscopy is achievable in such patients using an ultra-thin colonoscope (CF-SV), stiffening wire and a fluoroscope.
Some cases reguire interventional rediology techniques during insertion of the colonoscope, such as catheter insertion techniques.
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