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Once in the rectum, the objective is to advance the scope quickly and safely to the cecum. In order to accomplish this, the endoscopist needs to be able to steer the scope tip in the direction desired. This is done with a combination of the scope dials as well as torque of the scope. Being able to locate the colonic lumen when lost is also a mandatory early skill. Barring looping of the scope or tight angulations, the cecum can sometimes be reached with these simple techniques alone. Other skills such as loop reduction, navigation of angulated turns, and terminal ileum (TI) intubation will be covered later in this chapter.