What maneuver is recommended to enter the ileocecal (IC) valve during a procedure?

To successfully enter the ileocecal valve during an endoscopic procedure, the recommended approach is to gently insufflate air. This technique helps to distend the area surrounding the valve, making it easier to visualize and navigate through it. Insufflation can open up anatomical spaces, which is particularly beneficial when dealing with structures like the ileocecal valve that may otherwise be difficult to access.

Proper insufflation leads to better visualization of the valve's anatomy and can help prevent trauma to the surrounding tissues during entry. It allows the endoscopist to achieve a clearer and more unobstructed view, leading to a smoother passage through the valve for the endoscope. This approach emphasizes the importance of using optimal techniques to enhance accessibility to challenging anatomical areas in endoscopic surgery.