Gastrointestinal Endoscopy / Edition 1

Hardcover (Print)

Overview

Featuring 26 chapters by doctors and other researchers, this handbook reviews the basic information and offers specific instructions concerning: informed consent, conscious sedation and monitoring, antibiotic prophylaxis, endoscopic electrosurgery, the benign esophagus, esophageal manometry, pH testing, gastrointestinal foreign bodies, GI bleeding, variceal bleeding, lasers, pregnant patients, percutaneuos endoscopic gastronomy and jejunostomy, small bowel endoscopy, colonoscopy, ERCP, pancreatic disease, ultrasound, liver biopsy, pediatric patients, and other topics. Annotation © 2004 Book News, Inc., Portland, OR
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Product Details

  • ISBN-13: 9781570595721
  • Publisher: Taylor & Francis
  • Publication date: 1/1/2004
  • Series: Handbooks Ser.
  • Edition description: SPIRAL
  • Edition number: 1
  • Pages: 251

Table of Contents

1. Informed Consent 1
Introduction 1
Principles 1
Method 1
Exceptions 2
2. Conscious Sedation and Monitoring 3
Introduction 3
Indications and Contraindications 4
Equipment and Accessories 6
Technique 8
Outcome 9
Complications 10
3. Antibiotic Prophylaxis 11
Introduction 11
Infection in Areas Remote from the Gastrointestinal Tract 11
Infection in the Area of Endoscopic Manipulation 14
Special Cases 16
4. Principles of Endoscopic Electrosurgery 18
Introduction 18
Current Characteristics and Tissue Effect 18
Monopolar Electrosurgery 19
Bipolar Electrosurgery 20
Non-Contact Electrosurgery (Argon Plasma Coagulation) 20
5. The Benign Esophagus 22
Anatomy 22
Esophagitis 22
6. Malignant Esophagus 38
Introduction 38
Incidence/Epidemiology 38
Etiology/Risk Factors 39
Clinical Presentation 39
Laboratory Evaluation 40
Diagnostic Evaluation 40
Staging of Esophageal Tumors 41
Treatment of Esophageal Cancer 42
Survival 46
7. Esophageal Manometry 48
Introduction 48
Relevant Anatomy 48
Indications and Contraindications 49
Equipment and Accessories 50
Technique 50
Outcomes 52
Complications 55
8. Twenty-Four Hour pH Testing 58
Introduction 58
Relevant Anatomy 58
Indications 58
Equipment and Accessories 59
Technique 60
Outcomes 63
Complications 65
9. Gastrointestinal Foreign Bodies 67
Epidemiology 67
Presentation 67
History 67
Physical Exam 67
Initial Radiographic Evaluation 67
Indications for Removal 68
Options for Removal, Nonendoscopic 69
Options for Removal, Endoscopic 70
Options if Unable to Remove Foreign Body at Endoscopy 73
10. Endoscopic Therapy for Nonvariceal Acute Upper GI Bleeding 75
Introduction 75
Anatomy 75
Evaluation of Patient with UGIB 75
Indications/Contraindications for Endoscopy in UGIB 77
Endoscopy Equipment 77
Endoscopic Findings 78
Rebleeding Rates 78
Endoscopic Therapy and Management of UGIB 78
Complications 80
11. Endoscopic Management of Lower GI Bleeding 82
Introduction 82
Indications for Colonoscopy During Acute Lower Gastrointestinal Hemorrhage 82
Contraindications 82
Patient Preparation 82
Relevant Anatomy 83
Equipment 83
Accessories for Hemostasis 83
Technique 84
Outcome 84
Complications 85
12. Endoscopic Management of Variceal Bleeding 87
Introduction 87
Relevant Anatomy 87
Indications for Endoscopic Therapy 88
Contraindication to Endoscopic Therapy of Bleeding Varices 88
Equipment 88
Technique 89
Outcome of Endoscopic Therapy for Bleeding Varices 91
Complication of Endoscopic Therapy for Bleeding Varices 91
13. Lasers in Endoscopy 93
Diseases Treated by Endoscopic Laser Therapy 95
14. Endoscopy of the Pregnant Patient 103
Introduction 103
Indications 103
EGD2 103
ERCP2 104
Technique 104
Medication Safety 104
Preparation 104
Drugs Used as Premedications and During Endoscopy 105
Monitoring 106
Results and Outcomes of Endoscopy During Pregnancy 106
Conclusion 108
15. Percutaneous Endoscopic Gastrostomy and Percutaneous Endoscopic Jejunostomy 110
Introduction 110
Indications 110
Contraindications 110
Technique 110
Feeding and Local Care 112
Percutaneous Endoscopic Gastrostomy Tube Replacement 113
Complications 114
Percutaneous Endoscopic Jejunostomy 117
Ethical Considerations 117
16. Small Bowel Endoscopy 118
Introduction 118
Relevant Anatomy 118
Indication and Contraindication 118
Equipment, Endoscopes, Devices and Accessories 119
Technique 121
Outcome 123
Complications 123
Summary 124
17. Flexible Sigmoidoscopy 125
Introduction 125
Relevant Anatomy 125
Indications 126
Contraindications 126
Endoscope 126
Preparing the Patient 126
Technique 128
18. Colonoscopy 131
Introduction 131
Practical Colonoscopic (Endoscopic) Anatomy 131
Indications 131
Contraindications 133
Equipment 134
Accessories 135
Complications 138
Technique 141
Findings 145
Outcomes 150
19. ERCP--Introduction, Equipment, Normal Anatomy 151
Introduction 151
Indications and Contraindications 151
Equipment, Endoscopes, Devices and Accessories 152
Technique 154
Patient Preparation 155
Outcome 159
Complications 159
20. Endoscopic Therapy of Benign Pancreatic Disease 161
Introduction 161
Anatomy 161
Indications 161
Contraindications (Relative) 164
Equipment, Endoscopes, Devices and Accessories 164
Endoscopic Techniques 165
Outcomes 173
Complications 178
21. ERCP in Malignant Disease 181
Introduction 181
Anatomy of the UGI Tract 181
Anatomy of the Ampulla of Vater 181
Indications and Contraindications 182
Equipment 182
Technique 183
Complications 184
22. Endoscopic Ultrasound: Tumor Staging (Esophagus, Gastric, Rectal, Lung) 185
Introduction 185
Relevant Anatomy 185
Indications for EUS Tumor Staging 187
Contraindications for EUS Tumor Staging 187
Equipment for Endoscopic Ultrasound 187
General Technique of Endoscopic Ultrasound for Tumor Staging 192
Results and Outcome 193
Accuracy of Endoscopic Ultrasound for Tumor Staging 198
Complications 199
23. Endoscopic Ultrasound: Submucosal Tumors and Thickened Gastric Folds 200
Submucosal Tumors 200
Thickened Gastric Folds 202
24. Endoscopic Ultrasonography (EUS) of the Upper Abdomen 205
Background 205
Rationale for Endoscopic Ultrasound 205
Endoscopic Ultrasound Equipment 206
Upper Abdominal Anatomy 206
Endosonography of Pancreatic Malignancies 211
Endosonography of Cystic Pancreatic Lesions 213
Endosonographic Diagnosis of Chronic Pancreatitis 214
Endosongraphic Diagnosis of Choledocholithiasis 214
Endosonographic Evaluation of Cholangiocarcinoma 215
Rationale For Preoperative EUS Staging 219
Miscellaneous Indications for Endosonography 221
EUS of the Spleen 222
EUS of the Upper Abdominal Vasculature 222
Future Applications of EUS 223
25. Liver Biopsy 225
Introduction 225
Relevant Anatomy 225
Indications and Contraindications 226
Equipment 228
Procedure 229
Outcome 233
Complications 233
26. Endoscopy of the Pediatric Patient 236
Introduction 236
Anatomy and Physiology 236
Indications and Contraindications 237
Equipment 238
Technique 240
Outcome 245
Complications 245
Index 247
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