Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

A colonoscope is a vital instrument used in performing colonoscopies, with the goal of identifying pathology such as ulcers, inflammation, polyps, and tumors. For screening colonoscopies to effectively reduce the incidence of colon cancer, they must be conducted with high precision and quality. However, for beginners with limited experience, achieving a successful colonoscopy can be a significant challenge. Due to a lack of skill, the success rate of reaching the cecum may be lower, and it is often difficult for novices to become proficient in a short period of time. During colonoscopy, the equipment can stretch the colon, potentially causing local spasms and distension, which may lead to discomfort in patients, including discomfort and pain, issues that can impede the procedure's progress when conducted by less experienced practitioners. At our center, we have performed tens of thousands of colonoscopies, and currently, about 98% of these procedures successfully reach the cecum. For doctors who are still developing their colonoscopy skills, it is crucial to focus on honing their technique. Therefore, this study aims to analyze and share insights into effective colonoscopy techniques, providing a valuable learning experience for those training in this field. The following section explores critical insights and implementation experiences related to these methodologies.