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박승국,김약호 대한소화기내시경학회 1983 Clinical Endoscopy Vol.3 No.1
It 's well known that total colonoscopy is one of the essential procedure to make diagnosis of colonic and termiaal ileal diseases, to detect early stage of colonic cancer and to do prophylactic removal of premalignant polyp. Previously commonly used longer colonoscope has been reached to ileocecal area with patient's much discomfort arising from excessive loop formation at sigmoid or transverse colon because of no limitation of the length. As the loop formation of coloaoscope must be straigH,tened to reach ileobecal area' when medium length colonope is usad, which caused less discomfort to the patients with great facilities to the ileoceum, more easier to handle and perform biopsy. Fluoroscopic guide is already thought to be importapt part of total colonoscopy to be success, but radiation harards to the personels and scope bundle are major undesirable effects. Total colonoscopy was performed under fluoroscopic cuide with longer colonoscope previously, but many author used medium length scope without the help of fluoroscope with excellant result, recently. Here, we report our result of experiences of medium length(127 cm) colonoscope without the help of fluoroscope on the 93 cases in the period of 15 months from hay 82 to Aug. 83 on the colonic disease beyond the reach of rigid sigmoidoscope. I) Ve successfully reached to ileocecal area with medium length colonoscope without loop formation, except on aigmoid colon but straightened when reached to splenic flexure. 2) The success rate reach to the cecum was 94.6% and the insertion rate to terminal ileum was 90. 7I. 3) Among of the 47 cases of abnormal colonoscopic findings, inflammatory coloeic disease was seen in 23 casea(48.9%), cancer in 13 cases(27), polyps in 7 cases(14.9) and others. 4) Among 21 cases of abnormal finding on the right colon, cancer was seen in g cases, tuberculosis in 8 cases and others. 5) The time comsumption to reach to ileocecal area was average 45 minutes on first 50 cases, but improved to 18 minutes thereafter. 6) Colonoscopic polypectomy was done in 6 cases without complication.