Cannot Pass the Scope into the Cecum

  • David E. RivadeneiraEmail author


Complete evaluation of the colon and rectum is essential during a colonoscopy. One of the major and basic steps is to reach the cecum, and cecal intubation is used as a quality metric in endoscopy. This chapter will discuss characteristics that lead to a difficult colonoscopy and reduce rates of cecal intubation and will provide techniques and maneuvers for reaching the cecum.


Colonoscopy Cecal intubation Cecum Quality metric Looping 

Suggested Reading

  1. 1.
    Lee S, Ross H, Rivadeneira DE, Steele S, Feingold D, editors. Advanced colonoscopy and endoluminal surgery. Cham: Springer; 2017.Google Scholar
  2. 2.
    Park HJ, Hong JH, Kim HS, Kim B, Park SY, Jo KW, Kim JW. Predictive factors affecting cecal intubation failure in colonoscopy trainees. BMC Med Educ. 2013;13:5.Google Scholar
  3. 3.
    Romero R, Mahadeva S. Factors influencing quality of bowel preparation for colonoscopy. World J Gastrointest Endosc. 2013;5(2):39–46.CrossRefGoogle Scholar
  4. 4.
    Ross H, Lee S, Mutch M, Rivadeneira D, Steele SR, editors. Minimally invasive approaches to colon and rectal disease: technique and best practices. New York: Springer Publishing; 2015.Google Scholar
  5. 5.
    Ross H, Lee S, Champagne B, Pigazzi A, Rivadeneira DE. Robotic colorectal surgery. New York: Springer Publishing; 2015.CrossRefGoogle Scholar
  6. 6.
    Witte TN, Enns R. The difficult colonoscopy. Can J Gastroenterol. 2007;21(8):487–90.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Surgical Strategic InitiativesNorthwell HealthNew Hyde ParkUSA
  2. 2.Surgical Services and Colorectal SurgeryHuntington HospitalHuntingtonUSA
  3. 3.Hofstra University-Northwell School of MedicineHempsteadUSA

Personalised recommendations