caa a22 4500 465772889 CHVBK 20180323111933.0 cr unu---uuuuu 170327e19900201xx s 000 0 eng 10.1007/BF00178231 doi (NATIONALLICENCE)springer-10.1007/BF00178231 Instrumental techniques for total colonoscopy in children under 3 years of age [Elektronische Daten] [Tomihiro Kawamitsu, Kinji Nagashima] As there are no colonoscopes designed specifically for use in small children, we studied the applicability of an upper gastrointestinal panendoscope, the Olympus GIF-XP, as a substitute. During the past 4 years, we have performed 101 total colonoscopies with the panendoscope in 65 children under 3 years of age. The cecum was reached successfully in 96 of 101 examinations, resulting in a success rate of 95%. The spontaneous formation of a gamma loop in the transverse colon delayed the examination and was responsible for the 5 failures in reaching the cecum. In the first 2 years, the gamma loop formed spontaneously in 10 of 49 examinations (20%). In all of the above examinations, the alpha loop was removed as soon as the splenic flexure was passed. In the latter 2 years, when the alpha loop was left unstraightened as long as possible until the cecum was reached (a double-turn maneuver), the gamma loop formed in only 2 of 52 examinations (4%). Our experience allows us to conclude that the GIF-XP is suitable in size for use in infants, and that its disadvantages as a colonoscope can be compensated for by employing certain practical techniques, especially a double-turn maneuver that contributes to successful total colonoscopy without formation of a gamma loop. Springer-Verlag, 1990 Instrumental technique nationallicence Panendoscope nationallicence Pediatric colonoscopy nationallicence Total colonoscopy nationallicence Kawamitsu Tomihiro Department of Pediatric Surgery, Koshigaya Hospital, Dokkyo University School of Medicine, 2-1-50 Minami-koshigaya, Koshigaya-city, 343, Saitama, Japan aut Nagashima Kinji Department of Pediatric Surgery, Koshigaya Hospital, Dokkyo University School of Medicine, 2-1-50 Minami-koshigaya, Koshigaya-city, 343, Saitama, Japan aut Pediatric Surgery International Springer-Verlag 5/2(1990-02-01), 121-123 0179-0358 5:2<121 1990 5 383 https://doi.org/10.1007/BF00178231 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00178231 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kawamitsu Tomihiro Department of Pediatric Surgery, Koshigaya Hospital, Dokkyo University School of Medicine, 2-1-50 Minami-koshigaya, Koshigaya-city, 343, Saitama, Japan aut NATIONALLICENCE 700 1- Nagashima Kinji Department of Pediatric Surgery, Koshigaya Hospital, Dokkyo University School of Medicine, 2-1-50 Minami-koshigaya, Koshigaya-city, 343, Saitama, Japan aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/2(1990-02-01), 121-123 0179-0358 5:2<121 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer