Tip 48: More on Cecal Insertion Technique | January 2022-More on Cecal Insertion Technique

Video Transcription

Video Summary

The video discusses safety issues related to insertion technique in colonoscopies. The presenter emphasizes the importance of not pushing against fixed resistance to prevent colon ruptures and recommends switching to water instead of gas in tight, angulated sigmoid colons to avoid barotrauma. They also mention the risk of splenic injury, especially in thin females, and caution against torque or pulling on the insertion tube near the splenocolic ligament. The presenter then discusses loop reduction as a fundamental maneuver for successful insertion and mentions the use of abdominal pressure and position change. They highlight cultural influences and the impact of sedation on the preferred technique. The video concludes by noting that loop recognition and removal are important, regardless of whether the shapes of the loops are seen, and emphasizes the need for proper abdominal pressure and position changes to achieve a successful colonoscopy. The video is from the ASGE SuTab tip of the week series.

Keywords

colonoscopies

insertion technique

safety issues

barotrauma

splenic injury