Abstract

ACUNA PRATS, Rafael et al. Safety and usefulness of the retrograde-viewing maneuver in the cecum and ascending colon. Cir. gen [online]. 2012, vol.34, n.3, pp.193-198. ISSN 1405-0099.

Objective: To analyze the usefulness and safety of the retrograde-viewing maneuver in the cecum and colon performed in a series of 20 patients. Setting: Third level health care center. Type of study: Prospective, comparative, cross-sectional, and observational. Statistical analysis: Percentages. Patients and method: Twenty patients with indication for colonoscopy. Assessed variables were: feasibility of the maneuver. Complications and comparison of injuries localized with conventional endoscopy and by means of the retrograde-viewing device. Results: Average age was 53 years (33 to 72 years), 12 women and 8 men. The retrograde viewing maneuver was feasible in 16 of the colonoscopies (80%). The most frequent complication observed was slight erosion of the mucosa due to the friction caused by the tip of the endoscope in the cecum in four patients (20%), which did not need any treatment. There was no perforation or bleeding in any case. The retrograde-viewing maneuver provided an additional endoscopic diagnosis in three patients (15%), being these small polyps and a diverticulum in the cecum. Conclusions: Retrograde-viewing in the cecum was useful and safe, as it allowed to diagnose 15% more lesions than those observed before performing the maneuver; without presenting complications.

Keywords : Colonoscopy; colon; retrograde-viewing.

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