Core Concepts in Colonoscopy by Douglas Adler MD

By Douglas Adler MD

Core strategies in Colonoscopy covers all points of diagnostic and healing colonoscopy, emphasizing overarching options that gastroenterology fellows and physicians needs to be aware of to be successful in either the technical and cognitive facets of the approach. during this entire source, Dr. Douglas G. Adler and his members presents an easy and functional evaluation of colonoscopy.

Core innovations in Colonoscopy aims to handle and produce the center innovations of colonoscopy: from the constitution and serve as of the colonoscope itself, to insertion strategies, loop formation and relief, polypectomy innovations for any scenario, the avoidance and administration of perforations and different antagonistic occasions, in addition to complex thoughts together with (but now not constrained to) endoscopic mucosal resection and colonic stenting.

Each bankruptcy inside of Core innovations in Colonoscopy is lavishly illustrated with a number of key pictures to intensify and improve the written textual content, in addition to a plethora of tips, tips, and amassed issues of knowledge in every one bankruptcy on all elements of colonoscopy.

Additional web site Component!

Core ideas in Colonoscopy is followed through a video site with particular movies hooked up to person chapters that may illustrate easy and complex colonoscopic suggestions from many best specialists and should additional increase the training strategy. The addition of the video site makes it possible for a far better studying adventure and permits the reader to observe, hear, view time and again, and reinforces the recommendations offered within the written text.

GI fellows, junior gastroenterologists, or even complex physicians will relish Core innovations in Colonoscopy as a result of elementary and effective constitution that permits for the cloth to be speedy learn, in addition to simply take up the wealth of key sensible wisdom stumbled on inside.

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TABLE 2-1. KUDO'S CLASSIFICATION OF POLYP PIT PATTERNS TYPE DESCRIPTION Type I Round, regular pits Type II Star-like pits Type IIIL Tubular or roundish pits larger than type I Type IIIS Small tubular or roundish pits smaller than type I Type IV Branched or gyrus-like pits Type VI Markedly irregular pits Type VN Nonstructural pits More advanced lesions have higher numbered pit types, with type V lesions being most likely to harbor malignancy. Information from Kudo S, Rubio CA, Teixeira CR, Kashida H, Kogure E.

19 With air insufflation, blood often pools over the bleeding source and can make identification of sites for treatment difficult. Water infusion prevents pooling of blood and often highlights the exact site of ongoing blood loss because blood usually floats away to reveal, rather than obscure, the source. 18 CARBON DIOXIDE-ASSISTED COLONOSCOPY Although widely used for decades, air insufflation during colonoscopy is not without drawbacks, some of which have already been discussed. In the early days of colonoscopy, there was also concern regarding the potential for explosions to occur during the use of electrocautery in the setting of air insufflation, especially in patients with a suboptimally prepared colon.

6 The single most important factor that determines the success of colonoscopy is the endoscopist’s experience, although even the most experienced endoscopist may struggle in certain situations because colonoscopy can be a technically challenging procedure. Such challenges are encountered more commonly in patients with a suboptimal bowel preparation, severe diverticulosis, tortuous colons, an obese body habitus, a history of previous abdominal or pelvic surgeries, and the formation of colonoscopic loops, as well as in female and young patients.

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