Novel three-channel and three-slit stiffening tube for total colonoscopy

Aids to insertion: magnetic imaging, variable stiffness, and overtubes

Inserting the colonoscope quickly and safely without undue patient discomfort is the primary aim of the colonoscopist. The inherently mobile, flexible and unpredictable nature of the colon means that looping occurs frequently during insertion and the colonoscopist must constantly strive to keep the instrument straight whilst at the same time advancing the tip towards the caecum. Colonoscopists have struggled with insertion for many years but recent developments described in this chapter have the potential to make insertion easier and more predictable.

Intraprocedural steps to enhance efficiency

This section focuses on intraprocedural steps that can improve endoscopic efficiency. Contributors to procedural efficiency and inefficiency are considered. The limitations to enhancing efficiency are presented. Strategies for incorporating contributors to efficiency including techniques, technologies, accessories, and attitudes are presented.