Wire assisted sigmoid intubation: An alternative approach to overcome technically difficult colonic angulations

Changela, Kinesh; Bhatia, Taruna; Ofori, Emmanuel; Anand, Sury; Duddempudi, Sushil

doi:10.1016/j.ajg.2015.08.001

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…This is in agreement with Alatise et al, (2012) who reported that the commonest indication of colonoscopy was chronic constipation (5) . Hernández et al,(2005) also reported that chronic constipation as the commonest indication of colonoscopy (6) . It was shown that rate of complete procedure (cecal intubation) was higher in group I (96.6%) than group II (83.3%) which was statistically significant (p value =0.035); this results were in agreement with Tsutsumi et al,(2007) who evaluated the usefulness of an abdominal bandage for colonoscopy to keep the colonoscope straight in the sigmoid colon without looping throughout the examination (7) .…”

Section: Discussionmentioning

confidence: 98%

Evaluation of the value of using simple elastic abdominal binder during colonoscopy

Gomaa¹,

Amer²,

Hassan³

2022

ijhs

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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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Section: Discussionmentioning

confidence: 98%

Evaluation of the value of using simple elastic abdominal binder during colonoscopy

Gomaa¹,

Amer²,

Hassan³

2022

ijhs

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“…The disadvantage of the upper endoscope is its shorter length, but strict adherence to loop reduction and straightening, combined with vigorous abdominal pressure, allows cecal intubation with an upper endoscope in about two‐thirds of cases . When difficulties in advancing the upper endoscope to the cecal tip, the technique of guidewire exchange, may be useful in allowing a pediatric colonoscope to pass through an angulated sigmoid, even when an initial attempt at passing it without the guidewire had been unsuccessful . An alternative to the upper endoscope for dealing with the angulated sigmoid colon is to use a longer endoscope with a thinner diameter than a pediatric colonoscope such as an ultrathin colonoscope or a thin enteroscope.…”

Section: Methodsmentioning

confidence: 99%

“…10 When difficulties in advancing the upper endoscope to the cecal tip, the technique of guidewire exchange, may be useful in allowing a pediatric colonoscope to pass through an angulated sigmoid, even when an initial attempt at passing it without the guidewire had been unsuccessful. 17 An alternative to the upper endoscope for dealing with the angulated sigmoid colon is to use a longer endoscope with a thinner diameter than a pediatric colonoscope such as an ultrathin colonoscope or a thin enteroscope. These instruments have the substantial advantage over the upper endoscope of consistently having enough length to reach the cecum once the sigmoid is passed.…”

Section: A Natomically Difficult Colonoscopiesmentioning

confidence: 99%

(Technically) Difficult colonoscope insertion – Tips and tricks

Rodrigues‐Pinto

Ferreira‐Silva

Macedo

et al. 2019

Digestive Endoscopy

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Cecal intubation is a critical aspect of effective, complete colonoscopy. Difficult colonoscopy is most often considered as one in which it is challenging or impossible to reach the cecum. It may be a common occurrence due to patient and/or endoscopist factors. Incomplete colonoscopies should be avoided, since patients in this context present an important prevalence of lesions that escape examination. The approach to successful cecal intubation should depend on characterization of the problem as redundant colon or difficult sigmoid colon. Most patients with a prior incomplete colonoscopy can be colonoscoped successfully, if careful attention is paid to technique, using a variety of scopes, colonoscopy methods and additional equipment. Sufficient time should be allotted to make the attempt.

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Wire assisted sigmoid intubation: An alternative approach to overcome technically difficult colonic angulations

Cited by 2 publications

References 9 publications

Evaluation of the value of using simple elastic abdominal binder during colonoscopy

Evaluation of the value of using simple elastic abdominal binder during colonoscopy

(Technically) Difficult colonoscope insertion – Tips and tricks

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