The SAGES Manual Operating Through the Endoscope by Matthew Kroh, Kevin M. Reavis
By Matthew Kroh, Kevin M. Reavis
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Extra info for The SAGES Manual Operating Through the Endoscope
APC is also commonly used for peptic ulcer disease, angiodysplasia, and radiationinduced angioectasias. A retrospective study of 30 patients showed treatment of bleeding GVE was efficient and safe in cirrhotic and non-cirrhotic patients in more than 80 % of cases; non-cirrhotic patients required significantly more APC sessions to achieve a complete treatment . However, most patients do not achieve full long-term resolution . APC is very useful in the treatment of hemorrhagic radiation proctitis with Swan et al.
Nets share the basic design of a snare with a netting component stretched across the snare. Nets are provided in a variety of sizes to allow for retrieval of different sizes of objects (Figs. 8). Nets can be used for many retrieval possibilities. In the event of an ingested or inserted foreign body, a net can be utilized to retrieve the Fig. 7. An open US Endoscopy Roth Net Retrieval Device. Nets come in a variety of sizes for retrieval of various sizes of devices. P. K. Narula Fig. 8. A captured specimen in a US Endoscopy Roth Net.
Over-the-Scope Control Over-the-scope clips (OTSC) have been developed as large clips mounted on a cap which accesses the area of concern via scope suction. Once on top of the target tissue, the clip is deployed via direct plungerpush or string-wench mechanisms and spring shut on the tissue resulting in hemostasis or closure of a visceral opening. Endoscopic suturing has been facilitated by over-the-scope devices which have evolved to pass a needle and suture in similar fashion as a sewing machine in unidirectional orientation.