How I do colonoscopy Gastrointestinal Endoscopy

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Presentation transcript:

How I do colonoscopy Gastrointestinal Endoscopy Jerome D. Waye, MD, Siwan Thomas-Gibson, MD Gastrointestinal Endoscopy Volume 87, Issue 3, Pages 621-624 (March 2018) DOI: 10.1016/j.gie.2017.09.002 Copyright © 2018 American Society for Gastrointestinal Endoscopy and Georg Thieme Verlag KG Terms and Conditions

Figure 1 Position change as indicated may aid insertion and optimizes views during extubation. LL, left lateral; S, supine; RL, right lateral; P, prone. Gastrointestinal Endoscopy 2018 87, 621-624DOI: (10.1016/j.gie.2017.09.002) Copyright © 2018 American Society for Gastrointestinal Endoscopy and Georg Thieme Verlag KG Terms and Conditions

Figure 2 A, B, C, Pushing the scope in often results in stretching of the mesentery. D, This may be avoided by applying suprapubic pressure. (From Waye JD, Aisenberg J, Rubin PH. Practical colonoscopy. Hoboken, NJ: Wiley Blackwell, 2013.) Gastrointestinal Endoscopy 2018 87, 621-624DOI: (10.1016/j.gie.2017.09.002) Copyright © 2018 American Society for Gastrointestinal Endoscopy and Georg Thieme Verlag KG Terms and Conditions

Figure 3 Abdominal pressure may help to advance the scope, either by pushing the colon over the scope (A) or by pushing on the scope (B). (From Waye JD, Aisenberg J, Rubin PH. Practical colonoscopy. Wiley Blackwell 2013.) Gastrointestinal Endoscopy 2018 87, 621-624DOI: (10.1016/j.gie.2017.09.002) Copyright © 2018 American Society for Gastrointestinal Endoscopy and Georg Thieme Verlag KG Terms and Conditions