Background: Colonoscopy is a well-established endoscopic procedure widely used for screening, diagnosis, and treatment. Colonoscopy is the endoscopic examination of the large bowel and the distal part of the small bowel, using some techniques that allow for more frequent cecal intubation, quicker time to cecum, or less pain. One obstacle that must be overcome during this procedure is looping of the colonoscope shaft. Objective: The aim of the work is to evaluate the use of simple elastic abdominal binder during colonoscopy and its outcome on the ease, safety, duration and success of the procedure.Successful colonoscopy means demonstration of the ileocecal valve (cecal intubation).Duration of colonoscopy means time in minutes since insertion of tip of colonoscope shaft through anus till reaching ileocecal valve.  Patients and methods: This study was carried out on 120 patients  undergoing elective colonoscopy ( during period from April 2018 toAugust 2019) who were enrolled from Hepatology,Gastroenterology& Tropical Medicine department in Al Azhar University Hospitals (El-Hussein and BAB El-Shaarea).

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