Navigate the sigmoid colon like climbing a spiral staircase (use rotary movements). |
Use the Bolster Technique (applying abdominal pressure during upper endoscopy) to visualize Schatzki rings.11
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Keep a short scope to stay off the esophageal or intestinal wall. |
If the scope is taken from fellow, provide an explanation why, and try to return the scope when the impediment is resolved. |
Navigate the transverse colon like playing a trombone (repeated insertions and withdrawals). |
Use the pinkie finger to hold the flexible portion of the colonosope at the entry point, stabilizing position (the Pinkie Maneuver).12
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When taking esophageal biopsies, open the forceps in the stomach and then withdraw towards the lesion. |
Air is your enemy going in, but air is your friend going out. |
Focus on one take-home lesson for fellow for each endoscopy case or session. |
Do not go into a puddle: suction from above and keep your view. |
Going around the hepatic flexure is like climbing a ladder… keep the rungs of the ladder in view at all times and keep yourself off the mucosa as you climb your way up. |