Accuracy of assessment of the extent of examination by experienced colonoscopists.

Abstract:

:One hundred colonoscopies were done. The colonoscopist noted whether the cecum had been intubated as well as the markers used to make this determination. With the colonoscope in position at maximum penetration, a radiologist independently determined its position using fluoroscopy, with a contrast agent delivered through the colonoscope. The cecum was entered in 86 of 100 cases. The tip of the colonoscope was at the level of the ileocecal valve in nine additional cases; the colonoscopist judged that the cecum was well seen in five of these nine. In one case, the colonoscopist overestimated the extent of the examination when transillumination in the right lower quadrant was the only confirming marker. When the more reliable markers (ileocecal valve, appendiceal orifice, converging indentations of the taenia coli in the cecal pole) were seen, no errors were made. Experienced colonoscopists are accurate in assessing the extent of colonoscopy and fluoroscopic confirmation is not routinely needed. When reliable markers are not seen during the examination, a barium enema, preferably with air contrast, should be done.

journal_name

Gastrointest Endosc

authors

Anderson ML,Heigh RI,McCoy GA,Parent K,Muhm JR,McKee GS,Eversman WG,Collins JM

doi

10.1016/s0016-5107(92)70516-1

keywords:

subject

Has Abstract

pub_date

1992-09-01 00:00:00

pages

560-3

issue

5

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(92)70516-1

journal_volume

38

pub_type

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