A linear sigmoid colon passage method in colonoscopy

Department of Gastroenterology, Awazu Hospital, Nagasaki, Japan
Department of Surgery, Awazu Hospital, Nagasaki, Japan
DOI
10.7287/peerj.preprints.535v1
Subject Areas
Gastroenterology and Hepatology
Keywords
Colonoscopy, Intestinal perforation, Looping
Copyright
© 2014 Awazu et al.
Licence
This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ PrePrints) and either DOI or URL of the article must be cited.
Cite this article
Awazu S, Araki R, Awazu T. 2014. A linear sigmoid colon passage method in colonoscopy. PeerJ PrePrints 2:e535v1

Abstract

A previous study revealed loop formation of the colonoscope in the sigmoid colon in 79% of patients. Colonoscope looping in the sigmoid colon is considered to cause abdominal pain and intestinal perforation. We discovered a phenomenon whereby the rectosigmoid junction becomes linear when the patient is moved from a left lateral to left semiprone position and the colonoscope tip can be readily inserted into the sigmoid colon. Therefore, this phenomenon was applied to our conventional insertion method to determine whether the colonoscope looping rate in the sigmoid colon can be reduced. Thus our new insertion method could reduce the colonoscope looping rate in the sigmoid colon. Our new insertion method may allow safer colonoscope insertion than our conventional insertion method.

Author Comment

Our new insertion method may allow safer colonoscope insertion.