Gastrointestinal Endoscopy

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ISBN: 9781570595721 | 1570595720
Cover: Nonspecific Binding
Copyright: 1/1/2004

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Stanford Univ., CA. Pocket-sized reference covers all pertinent aspects of gastrointestinal endoscopy. Provides discussions on informed concept, conscious sedation and monitoring, basic principles, the benign and malignant esophagus, gastrointestinal foreign bodies, lasers in endoscopy, and more. Softcover. DNLM: Endoscopy, Gastrointestinal--methods.

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

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Gastrointestinal Endoscopy

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