Strategies to manage the difficult colonoscopy

World J Gastrointest Endosc. 2023 Jul 16;15(7):491-495. doi: 10.4253/wjge.v15.i7.491.

Abstract

During endoscopy, an endoscopist is inevitably faced with the occasional "difficult colonoscopy," in which the endoscopist finds it challenging to advance the endoscope to the cecum. Beyond optimization of technique, with minimized looping, minimal insufflation, sufficient sedation, and abdominal splinting when needed, sometimes additional tools may be needed. In this review, we cover available techniques and technologies to help navigate the difficult colonoscopy, including the ultrathin colonoscope, rigidizing overtube, balloon-assisted colonoscopy and the abdominal compression device.

Keywords: Balloon enteroscopy; Colonoscopy; Difficult colonoscopy; Incomplete colonoscopy; Overtube; Water immersion.

Publication types

  • Review