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Looping and Abdominal Pressure: A Visual Guide to a Successful Colonoscopy

Prechel, James A. AA, GTS; Sedlack, Robert E. MD; Harreld, Frank A.; Sederquest, Melissa M.

doi: 10.1097/SGA.0000000000000125
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Looping is a common occurrence during colonoscopy. Once a loop has occurred and the endoscopist has reduced it, abdominal pressure given by the technician will help the loop from re-forming. In this article, we discuss some of the common loops that are formed, the methods the endoscopist must employ to reduce the loop, and the type of abdominal pressure used by the technician to help prevent the loop from re-forming and, thus, help attain cecal intubation. Hand placement for abdominal pressure is discussed and illustrated to provide a visual guide for the technician.

James A. Prechel, AA, GTS, is Instructor of Medicine, Mayo Clinic College of Medicine; and GI technician, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota.

Robert E. Sedlack, MD, is Consultant, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota.

Frank A. Harreld is GI Technician, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota.

Melissa M. Sederquest is GI Technician, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota.

Correspondence to: James A. Prechel, AA, GTS, Mayo Clinic, Division of Gastroenterology and Hepatology, 200 First Street SW, Rochester, MN 55905 (prechel.james@mayo.edu).

The authors declare no conflicts of interest.

Received May 31, 2013

Accepted November 03, 2013

Ā© 2015 by the Society of Gastroenterology Nurses and Associates, Inc.