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When used in a difficult sigmoid colon, the rigidity of the segment can act as a stent for the gastroscope, allowing it to be placed through the entire colon and reach the cecum. The endoscopist often does not see this tear because it is not made by the tip of the colonoscope; thus, the endoscopist may go beyond that difficult, angulated segment of colon all the way to the cecum, not realizing that a perforation has happened until the colonoscope is coming out, and the tip flops out through the perforated site, revealing abdominal organs. I rarely try to dilate a stricture to get through it for diagnostic purposes, although I use a balloon for dilation of a symptomatic benign stricture. However, a gastroscope cannot be used to perform an entire colonoscopy in the average patient because this instrument is shorter than a colonoscope, and its length is taken up by the bends and folds of the sigmoid colon. Keep in mind: Try as Many Bikes as Possible! Therefore, young, slender women comprise the most difficult category of patients for colonoscopy. Very tall women tube

Very tall women tube

Very tall women tube

Very tall women tube

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  1. It is especially important to be careful of strictures in colitis, particularly ulcerative colitis, because these strictures often turn out to be malignant, even though biopsies may not reveal an underlying malignancy. Seat height is often the start.

  2. When it comes to buying a new bike, the innovations and technology available make for countless game-changing rides.

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