Video Tip: Negotiating a Difficult Colon | March 2024-Negotiating the Difficult Colon

Video Transcription

Video Summary

The video provides tips for successful colonoscopic insertion with the least scope insertion, minimal colonic distension with CO2 gas, and avoiding complications. Emphasizing the importance of quitting if unable to reach the C-cum despite efforts, considering anatomical factors and potential difficulties like sharp turns. Techniques to navigate sharp fixed angulations are discussed, including starting with a pediatric colonoscope, using right lower quadrant pressure, torquing the scope, and changing the patient's position if needed. Using smaller diameter scopes, understanding scope deflection, and beginning procedures in the right lateral position are also recommended for challenging cases.

Keywords

colonoscopic insertion

CO2 gas

complications

anatomical factors

scope deflection