Diseases of the Colon & Rectum

, Volume 35, Issue 11, pp 1092–1093 | Cite as

Open sesame: Tips for traversing the anal canal

  • Keith C. R. Farmer
  • James M. Church
Technical Note


The key points for a minimally traumatic and pain-free anal intubation are an informed patient, gentle technique, plenty of lubricant, a relaxed, supportive atmosphere, and gradual inward pressure on the instrument or finger. Also important are knowledge of the direction of the anal canal, sideways introduction of the flexible endoscope, and the technique of gaining anal relaxation by asking the patient to push down.

Key words

Anal canal Rectal examination Proctoscopy Colonoscopy Surgical technique 


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Copyright information

© American Society of Colon and Rectal Surgeons 1992

Authors and Affiliations

  • Keith C. R. Farmer
    • 1
  • James M. Church
    • 1
  1. 1.Department of Colorectal Surgery, A111The Cleveland Clinic FoundationCleveland

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