By Toyooki Sonoda
This ebook offers surgeons and gastroenterologists with state of the art innovations when it comes to complex colonoscopy. Chapters introduce tools of elimination polyps that weren't formerly amenable to colonoscopic snare polypectomy. complex suggestions similar to closure of perforations and intestinal stenting are commonly lined. The textual content keeps a powerful emphasis on surgical/endoscopic procedure. wide dialogue on apparatus and ability acquisition can be lined. As many readers won't ever have visible those complicated techniques earlier than, huge pictures and movies are supplied. The authors supply guidance, tips, and pitfalls that would support the reader include those new ideas into their practice.
Advanced Colonoscopy: Polypectomy and past should be of significant worth to any healthcare professional or gastroenterologist presently appearing colonoscopy and attracted to complicated techniques.
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Extra info for Advanced Colonoscopy: Principles and Techniques Beyond Simple Polypectomy
It is speculated that delayed perforation is caused by thermal injury to the muscle layer. In cases of delayed peroration, bowel contents leak into the abdominal cavity and severe peritonitis may ensue; therefore, this condition is often impossible to manage conservatively and surgical treatment is required. If the patient complains of abdominal pain, an abdominal radiograph or computed tomography scan should be taken immediately, because the outcomes may vary according to the speed of diagnosis and of ultimate treatment.
2001;11(3):537–48. 8. Gilbert DA, DiMarino AJ, Jensen DM, Katon R, Kimmey MB, Laine LA, MacFadyen BV, Michaletz-Onody PA, Zuckerman G. Status evaluation: hot biopsy forceps. American Society for Gastrointestinal Endoscopy Technology Assessment Committee. Gastrointest Endosc. 1992;38(6):753–6. 9. Valentine JF. Double-channel endoscopic polypectomy technique for the removal of large pedunculated polyps. Gastrointest Endosc. 1998;48:314–6. 10. Swan MP, Bourke MJ, Alexander S, Moss A, Williams SJ. Large refractory colonic polyps: is it time to change our practice?
Sessile polyps are usually straightforward to snare, but flat polyps are difficult because the snare tends to slip off. Depressed polyps are a real challenge for conventional techniques. 3. Location: Polyps sitting in a flexure, or around a turn in the sigmoid colon, are often difficult to access with endoscopic instruments. If the colon is mobile, the fold can slip away from the scope. If the colon contracts or spasms, the polyp may be lost to sight. Polyps on the backside of a haustral fold, or polyps that are draped over a fold, are difficult because parts of the lesion are invisible and hard to access.
Advanced Colonoscopy: Principles and Techniques Beyond Simple Polypectomy by Toyooki Sonoda