Water Immersion Colonoscopy Technique

Water Immersion Colonoscopy Technique

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19.

INSERTION IN 20 SECONDS! -MY COLON MODEL INSERTION DEMONSTRATION

 

MOVIE 19-1 MY COLON MODEL INSERTION DEMONSTRATION

My colon model insertion demonstration I casually performed at the tutorial training. It is fast, but the singular method is precisely carried out.

1
00: 00: 00,000 -> 00: 00: 06, 681
Everyone participated in the jump while practicing.

2
00: 00: 06,716 -> 00: 00: 10, 201
Slightly difficult in the colon model,

3
00: 00: 10, 201 -> 00: 00: 13, 345
I am using a thin PCF scope.

4
00: 00: 13, 345 -> 00: 00: 25, 562
It inserts it in 20 seconds, but 10 times its insertion time in human being

5
00: 00: 25,597 -> 00: 00: 28,762
It matches (actually).

 


Chart 19-1 COLON MODEL INSERTION STEP BY STEP

 

 

MOVIE 19-2 THE LEFT HAND'S POSITION DURING THE COLON MODEL INSERTION

Pay attention to the left hand's position. Colon model insertion is carried out with the Singular Method.

1
00: 00: 00,000 -> 00: 00: 03, 086
Let's compare the position of the left hand.

2
00: 00: 03,121 -> 00: 00: 10,046
I started at 12 o'clock first, the rectum left until 6 o'clock

3
00: 00: 10,081 -> 00: 00: 16,029
It also returns from 9 o'clock to 10.30 am, crosses SD,

4
00: 00: 16,064 -> 00: 00: 21,021
After returning to 10:30, after 12 o'clock in the spleen curve,

5
00: 00: 21,056 -> 00: 00: 28,397
Once again turn left, then return to 12 o'clock and cecum.

 

MOVIE 19-3 THE SINGULAR METHOD COMPARISON BETWEEN THE FINGER-SCOPE AND THE FIBERSCOPE ON THE COLON MODEL 2

Shown on the left is the finger-scopy. The right is the Singular Method on the colon model. Looking at both videos, you can see that they are essentially the same.

1) In the rectum, rotate counterclockwise and proceed leftward.

2) In the sigmoid colon, basically rotate clockwise and proceed rightward.

3) Proceed rightward in the SD Junction.

4) Advance straightforwardly in the descending colon.

5) Proceed upward at the splenic flexure and once over it, change the posture.

6) Proceed downward in the mid-transverse colon and rotate counterclockwise and proceed leftward in the latter transverse colon.

7) When hitting the wall of the hepatic flexure on the left, proceed rightward.

8) Proceed straightforwardly as rotating clockwise in the ascending colon.

1
00: 00: 00,000 -> 00: 00: 04,602
The index finger of the right hand,

2
00: 00: 04, 637 -> 00: 00: 06, 826
Advance at twice the left hand position.

3
00: 00: 06,861 -> 00: 00: 14, 361
Right one turn in the rectum, SD over 9 o'clock.

4
00: 00: 14, 396 -> 00: 00: 16, 969
After that, I returned once at twelve o'clock,

5
00: 00: 17,004 -> 00: 00: 23, 562
In the second half, after about 1 turn left, it crosses the liver curvature,

6
00: 00: 23,597 -> 00: 00: 27,610
Right one turn and arrive at the cecum at 12 o'clock.

 

COLUMN 1 ANOTHER BENEFIT OF THE COLON MODEL

On a colon model the Singular Method is best learned, but not only because you can refine your finger skill. If compared to soccer, the Singular Method is the manager's game plan and the finger technique is something like dribbling skill, which is a critical fundamental aspect of the one-on-one play.

 

COLUMN 2 AHA MOMENT

As I give hands-on training to students every day, I come across their "aha moment" every once in a while. Typically, after experiencing 100 cases or so, an exponential improvement takes place. When I ask them "have you got a clue?" they often answer "I think I have." It is that moment when they realize something important was lost and missing among the large amount of knowledge they acquired. Once they have that moment, as if the missing piece was found and the puzzle was completed, they make skyrocketing progress.