Recognition and resolution of colonic loops
Many people think of 'loops' immediately when they cannot progress at colonoscopy. But what are loops? What different types are there? How can we prevent their formation and remove them when they occur? Demonstration of principles of loop resolution and prevention in addition to relevant ergonomics. Includes efficient way of transferring external loops to umbilicus.

In brief

This video includes the techniques for handling loops during colonoscopy procedures. The discussion primarily revolves around loop formation, resolution, and torque steering. They emphasize the importance of recognizing signs of loop formation, such as increased discomfort and torque resistance, and highlight the need to straighten the scope promptly. The participants demonstrate how to apply clockwise and anticlockwise torque, often using the fingertips for finer control. They also discuss methods for transferring loops into the cecum, showcasing different techniques for achieving this task. Throughout the conversation, the significance of patient comfort, controlled torque, and steady pacing is emphasized to achieve effective and comfortable colonoscopy procedures. 

Detailed Summary

Learning Objectives: 

  • Recognizing signs of loop formation during colonoscopy 
  • Applying controlled clockwise and anticlockwise torque for loop resolution 
  • Utilizing fingertips for finer control and torque steering 
  • Transferring loops into the cecum through precise techniques 
  • Prioritizing patient comfort and steady pacing for effective colonoscopy procedures 
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Colonoscope Handling
ErgonomicsLeft HandRight HandSpeedTip Control
Loops
AlphaN SpiralPreventionRecognitionResolutionReverse Alpha
Patient Management
Discomfort
Training
AdviceChecking for understandingConscious CompetenceExplanationExploring Current KnowledgeQuestioning
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Classroom DiscussionEndoscopic Video and Audio NarrationEndoscopic Video and Room Video with AudioLecture with Audio
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