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Related Concept Videos

Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

66
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
66
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

66
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
66
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

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This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
63
Lower GI Series: Barium Enema01:23

Lower GI Series: Barium Enema

225
A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
225
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

175
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
175
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

79
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
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Factors predict prolonged colonoscopy before the procedure: prospective registry study.

Burak Dinçer1, Sinan Ömeroğlu2, Onur Güven2

  • 1Department of Surgical Oncology, Ankara Oncology Training and Research Hospital, Mehmet Akif Ersoy Mah. Vatan Cad. No: 91 Yenimahalle, Ankara, Turkey. burak.dincer@saglik.gov.tr.

Surgical Endoscopy
|August 14, 2024
PubMed
Summary

Cecal intubation time during colonoscopy is influenced by low BMI, prior abdominal surgery, constipation severity, and endoscopist experience. Understanding these factors can optimize endoscopy scheduling and resource allocation.

Keywords:
Abdominal surgeryBody mass indexCecal intubation timeConstipationProlonged colonoscopy

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Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System
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Area of Science:

  • Gastroenterology
  • Endoscopy
  • Clinical Research

Background:

  • Colonoscopy procedure time varies, impacting endoscopy unit scheduling.
  • Cecal intubation time (CIT) is a key metric for assessing colonoscopy difficulty.
  • Factors influencing CIT require further investigation.

Purpose of the Study:

  • To prospectively evaluate factors associated with cecal intubation time (CIT) in colonoscopy.
  • To identify predictors of prolonged CIT.

Main Methods:

  • A prospective observational study of 902 patients undergoing colonoscopy.
  • Exclusion criteria included poor bowel preparation and history of colorectal surgery.
  • Patients were categorized by CIT (<11 min normal, ≥11 min prolonged).

Main Results:

  • Median CIT was 6 minutes.
  • Factors associated with prolonged CIT included low BMI (≤18.5), previous abdominal surgery, higher Wexner Constipation Score, and less endoscopist experience.
  • Cecal intubation rate was 97.5%.

Conclusions:

  • Low BMI, prior abdominal surgery, constipation severity, and endoscopist experience are significant factors affecting CIT.
  • Considering these factors can improve efficiency in endoscopy unit planning and utilization.