Tip 46: Techniques for Intubation of the Terminal Ileum | January 2022-Techniques for Intubation of the Terminal Ileum

Techniques for Intubation of the Terminal Ileum

Video Transcription

Video Summary

In this video, the speaker discusses techniques for intubation of the terminal ilium during colonoscopy. They argue that it is not necessary to routinely intubate the terminal ilium. They mention that the only important findings in asymptomatic people in that area are neuroendocrine tumors, ileal carcinoids, which have a high propensity to metastasize. The speaker suggests using a skinnier scope for more effective intubation and recommends deflating the cecum and aiming directly at the valve for routine cases. They also discuss the use of the bow and arrow sign and underwater intubation as alternative techniques. The video concludes with a demonstration of the underwater intubation technique. No credits given.

Keywords

intubation

terminal ilium

colonoscopy

neuroendocrine tumors

ileal carcinoids