Strategies, Technologies, and Tips for Successful Cecal Intubation.

IF 2.8 4区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Journal of clinical gastroenterology Pub Date : 2024-10-29 DOI:10.1097/MCG.0000000000002096
Alexander Miller, Joseph C Anderson
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Abstract

Successful cecal intubation is crucial in ensuring a complete evaluation of the colonic mucosa. Although completion of colonoscopies should be successful in close to 100% of all examinations in the hands of experienced gastroenterologists, there are some patients with colons which can be difficult to navigate. Factors such as older age, presence of diverticular disease, as well as high or low body mass index can present challenges for endoscopists. Challenges can be divided into those that are left sided and are associated with severe angulations of the colon versus those that are right sided and present as redundant colons. Both require different strategies to achieve completion. This review will cover methods, technologies as well the evolution of colonoscope insertion tubes which can help in navigating colons, especially those that are challenging. There will also be a discussion about basic principles and techniques that should be employed in all colonoscopies.

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成功进行盲肠插管的策略、技术和技巧。
成功的盲肠插管对于确保完整评估结肠粘膜至关重要。虽然在经验丰富的消化内科医生手中,结肠镜检查的成功率应接近 100%,但有些患者的结肠可能难以操作。年龄较大、患有憩室疾病以及体重指数过高或过低等因素都会给内镜医师带来挑战。挑战可分为左侧结肠和右侧结肠,前者伴有严重的结肠成角,后者则表现为结肠冗余。两者都需要不同的策略才能完成。本综述将介绍结肠镜插入管的方法、技术和演变,这些都有助于结肠导航,尤其是那些具有挑战性的结肠。此外,还将讨论所有结肠镜检查都应采用的基本原则和技术。
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来源期刊
Journal of clinical gastroenterology
Journal of clinical gastroenterology 医学-胃肠肝病学
CiteScore
5.60
自引率
3.40%
发文量
339
审稿时长
3-8 weeks
期刊介绍: Journal of Clinical Gastroenterology gathers the world''s latest, most relevant clinical studies and reviews, case reports, and technical expertise in a single source. Regular features include cutting-edge, peer-reviewed articles and clinical reviews that put the latest research and development into the context of your practice. Also included are biographies, focused organ reviews, practice management, and therapeutic recommendations.
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