Colonoscopy Course Algorithm
Algorithm that Mr Moore regularly teaches on JAG colonoscopy technique training courses
The following ordered steps can be used to advance a colonoscope towards the caecum while using controlled fine movements of the cogs. This algorithm can be particularly helpful when you come to a difficult bend or you start to loop and you wonder what you can do next to start making safe progress again.
- Push colonoscope forward
- Push colonoscope forward with clockwise torque
- Push colonoscope forward with anti-clockwise torque
- Pull colonoscope back with clockwise torque
- Pull colonoscope back with anti-clockwise torque
- MOVE PATIENT and repeat steps 1 to 5
- Consider scope stiffener
- Consider sigmoid pressure
- Consider more pain relief or sedation
- Repeat steps 1 to 10
- Consider asking for help
- Consider stopping the procedure
