Tip 47: The Approach to Cecal Intubation in Anatomically Difficult Colons | January 2022-The Approach to Cecal Intubation in Anatomically Difficult Colons

The Approach to Cecal Intubation in Anatomically Difficult Colons

Video Transcription

Video Summary

In this video, the speaker discusses their experience with performing difficult colonoscopies in patients with anatomically challenging colons. They report a high success rate of 97.3% in these cases, without the use of balloon endoscopes. The sensitivity of alternative tests such as balloon endoscopy and CT colonography after incomplete colonoscopy is found to be extremely low. The speaker recommends repeating the colonoscopy rather than relying on radiographic testing for polyp detection. They also provide tips on classifying the anatomical problem, choosing the appropriate scope, and using water filling instead of gas insufflation. The use of overtubes and steering techniques is also mentioned. The speaker emphasizes the importance of good colonoscopy technique and suggests documenting successful techniques for future reference.

Keywords

difficult colonoscopies

anatomically challenging colons

high success rate

balloon endoscopes

sensitivity of alternative tests