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Tip 50: Demonstration of Passage of a Narrowed and ...
Demonstration of Passage of a Narrowed and Angulat ...
Demonstration of Passage of a Narrowed and Angulated Sigmoid
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Video Transcription
Video Summary
In this video, a case of cecal intubation in a patient with a narrowed and angulated sigmoid colon is shown. The patient had a poor prep proximal to the sigmoid, requiring a different approach. The key learning tips discussed are the importance of scope diameter and length of the bending section, using water insertion for safety and success in a narrow and angulated colon, and the use of the left-hand scope grip for better control. The video demonstrates the use of an ultra-thin scope, water pumping instead of gas, and the difficulty in finding the lumen due to severe angulation. Despite limitations in prep, the video shows successful intubation of the cecum. Credits: ASGE SuTab tip of the week.
Keywords
cecal intubation
narrowed sigmoid colon
angulated sigmoid colon
scope diameter
water insertion
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