What is cecal intubation?

Sometimes on a colonoscopy report, you may see a line that goes something like, “The colonoscope was introduced through the rectum and advanced under direct visualization until the cecum was reached.” This means that cecal intubation was done.

Cecal intubation is defined as passage of the colonoscope tip to a point proximal to the ileocecal valve, so that the entire cecal caput, including the medial wall of the cecum between the ileocecal valve and appendiceal orifice, is visible. It is a quality metric for colonoscopy because otherwise you may miss a substantial number of proximal polyps. Low cecal intubation rates have been associated with higher rates of interval proximal colon cancer.


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.