Practical Gastrointestinal Endoscopy

Practical Gastrointestinal Endoscopy has become the basic primer for endoscopy around the world. This new edition has been thoroughly revised and updated. Drawing on the vast experience of the authors it provides clear and practical guidance on the fundamentals of standard endoscopy practice. It describes procedures in great depth and addresses improved therapeutic techniques and advances in technology. The book is well illustrated throughout with color line drawings and diagrams. It is an indispensable resource for all trainees in gastroenterology and essential read for all practising endoscopists who are interested in improving their techniques.

Practical Gastrointestinal Endoscopy has become the basic primer for endoscopy around the world. This new edition has been thoroughly revised and updated. Drawing on the vast experience of the authors it provides clear and practical guidance on the fundamentals of standard endoscopy practice. It describes procedures in great depth and addresses improved therapeutic techniques and advances in technology.
The book is well illustrated throughout with color line drawings and diagrams. It is an indispensable resource for all trainees in gastroenterology and essential read for all practising endoscopists who are interested in improving their techniques.

Preface to the Sixth Edition, vii

Acknowledgments, ix

1 The Endoscopy Unit and Staff, 1

Staff, 1

Facilities, 1

Management and behavior, 3

Documentation, 4

Educational resources, 5

2 Endoscopic Equipment, 7

Endoscopes, 7

Endoscopic accessories, 11

Ancillary equipment, 12

Electrosurgical units, 12

Lasers and argon plasma coagulation, 13

Equipment maintenance, 14

Infection control, 15

Cleaning and disinfection, 16

3 Patient Care, Risks, and Safety, 22

Patient assessment, 22

Patient education and consent, 26

Physical preparation, 31

Monitoring, 31

Medications and sedation practice, 32

Recovery and discharge, 34

Managing an adverse event, 35

4 Upper Endoscopy: Diagnostic Techniques, 37

Patient position, 37

Endoscope handling, 38

Passing the endoscope, 39

Routine diagnostic survey, 42

Problems during endoscopy, 49

Recognition of lesions, 50

Specimen collection, 55

Diagnostic endoscopy under special circumstances, 58

5 Therapeutic Upper Endoscopy, 61

Benign esophageal strictures, 61

Achalasia, 65

Esophageal cancer palliation, 66

Gastric and duodenal stenoses, 70

Gastric and duodenal polyps and tumors, 70

Foreign bodies, 70

Acute bleeding, 74

Enteral nutrition, 80

6 Colonoscopy and Flexible Sigmoidoscopy, 87

History, 87

Indications and limitations, 88

Informed consent, 93

Contraindications and infective hazards, 94

Patient preparation, 95

Medication, 105

Equipment--present and future, 111

Anatomy, 116

Insertion, 120

Handling--"single-handed," "two-handed," or twoperson?,123

Sigmoidoscopy--accurate steering, 128

Endoscopic anatomy of the sigmoid and descending colon, 131

Sigmoidoscopy--the bends, 133

Sigmoidoscopy--the loops, 134

Diverticular disease, 143

Descending colon, 144

Splenic flexure, 145

Transverse colon, 152

Hepatic flexure, 155

Ascending colon and ileo-cecal region, 158

Examination of the colon, 164

Stomas, 172

Pediatric colonoscopy, 172

Per-operative colonoscopy, 173

7 Therapeutic Colonoscopy, 176

Equipment, 176

Polypectomy, 182

Other therapeutic procedures, 202

8 Resources and Links, 208

Web sites, 208

Endoscopy books, 208

Journals with major endoscopy/clinical focus, 209

Index, 211