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KMID : 1039620130030010033
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Korean Journal of Family Practice
2013 Volume.3 No. 1 p.33 ~ p.49
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Colonoscopy: Insertion Technique and Training
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Lee Seung-Hwa
Lee Duck-Joo
Kim Kwang-Min
Park Sat-Byul
Kim Bom-Taeck
Joo Nam-Seok
Cho Doo-Yeoun
Kim Kyu-Nam
Park Young-Kyu
Lee Dong-Ryul
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Abstract
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The incidence of colorectal cancer has been increasing in the Republic of Korea. Colonoscopy allows for greater diagnostic specificity and sensitivity compared with other examinations, such as the stool occult blood test, barium enema, and computed tomography colonography. Therefore, in recent years, the demand for colonoscopy has been growing rapidly. Primary care physicians have contributed to meeting this demand by performing colonoscopies. However, it is hard to learn the colonoscopy procedure due to the long length of its learning curve and high rate of complication compared with gastroscopy, such as perforation and bleeding. Thus, considerable training and experience is required for optimal performance of colonoscopy. For performing a complete colonoscopic examination, there were a few important things to learn and remember, such as position of examinee (e.g., left and right decubitus, supine, and prone) and examiner (twoman method versus one-man standing method versus one-man sitting method), basic skills (e.g., tip deflexion, push forward and pull back, torque, and air suction and infusion), advanced skills (e.g., jiggling and shaking, right and left turn shortening, hooking the fold, slalom and sliding, and drilling technique), assisted skills (e.g., position change of examinee, abdominal compression, and breathing-holding and liquid-infusion technique), and insertion techniques along with the lower gastrointestinal tract. In the current review article, although there were several limitations to the explanation, we will explain to primary care physicians the insertion method of colonoscopy. The authors believe that this article may be helpful to primary care physicians who want to learn the procedure.
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KEYWORD
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Colonoscopy, Primary Care Physician, Colonic Neoplasms, Education, Procedure
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