Wei Mike T, Friedland Shai
Department of Gastroenterology, Stanford University Medical Center, Palo Alto, CA 94306, United States.
World J Gastrointest Endosc. 2023 Jul 16;15(7):491-495. doi: 10.4253/wjge.v15.i7.491.
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.
在内镜检查过程中，内镜医师不可避免地会偶尔遇到“困难结肠镜检查”，即内镜医师发现将结肠镜推进至盲肠具有挑战性。除了优化技术，尽量减少肠袢、减少充气、充分镇静并在必要时进行腹部按压外，有时可能还需要其他工具。在本综述中，我们介绍了有助于应对困难结肠镜检查的现有技术，包括超薄结肠镜、硬化外套管、气囊辅助结肠镜检查和腹部压迫装置。
