DIRECT ANORECTAL INTUBATION DURING COLONOSCOPY – A LOGICAL NEW PARADIGM

Traditionally, endoscopists are trained to introduce the colonoscope blindly through the anus into the rectum and then start the procedure. This practice originated during the era of fiberoptic endoscopy but has remained standard despite availability of wide-angle viewing video colonoscopy techniques, which practically allow for a better inspection of this area. Indeed, esophagogastroduodenoscopy was also inserted blindly until last century, but now it is standard to insert under direct vision. This video demonstrates on the feasibility, practicality and potential advantages of performing direct intubation and visualization of the anorectum with the colonoscope, which we have practiced since 2001.

 

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Publication History

Article published online:
14 April 2022