Tip 52: Maintaining Colonic Distention during Withdrawal | February 2022-Maintaining Colonic Distention during Withdrawal

Maintaining Colonic Distention during Withdrawal

Video Transcription

Video Summary

In this video, the speaker discusses the importance of achieving colon distension during colonoscopy withdrawal, particularly in the left lateral decubitus position. They mention that maintaining good distension is crucial for high detection levels. One approach to achieving distension is using CO2 instead of gas, as it allows for more aggressive insufflation without concerns of abdominal pain. Patient rotation is also effective, but in the US, propofol sedation and high BMIs make this less feasible. Other methods discussed include filling the left colon with water, applying cricoid pressure (gluteal squeeze maneuver), and using the GI scope, which has a balloon that helps maintain distension.

Keywords

colonoscopy withdrawal

colon distension

left lateral decubitus position

CO2 insufflation

abdominal pain