Cecal intubation failure: Refer or change technique?

Predictive factors affecting cecal intubation failure in colonoscopy trainees

BACKGROUND Successful cecal intubation (SCI) is not only a quality indicator but also an important marker in a colonoscopy trainee's progress. We conducted this study to determine factors predicting SCI in colonoscopy trainees, and to compare these factors before and after trainees achieve technical competence. METHODS Design of this study was a cross-sectional studies of two time series desi...

Obesity and Cecal Intubation Time

BACKGROUND/AIMS Obesity is a much-debated factor with conflicting evidence regarding its association with cecum intubation rates during colonoscopy. We aimed to identify the association between cecal intubation (CI) time and obesity by eliminating confounding factors. METHODS A retrospective chart review of subjects undergoing outpatient colonoscopy was conducted. The population was categoriz...

Policy on the ethics of failure to treat or refer.

Pediatric Testicular Microlithiasis: To Refer or Not to Refer?

Achieving cecal intubation in the very difficult colon.

Cecal intubation is defined as insertion of the colonoscope tip into the cecal caput so that the medial wall of the cecum proximal to the ileocecal valve can be fully inspected. Although colonoscopists outside the United States sometimes undertake colonoscopy without intending to intubate the cecum, the intent to achieve full cecal intubation or reaching an ileocolonic anastomosis is the norm i...