Practical Gastrointestinal Endoscopy

Recommendations

Info

xINFORMATION ON THE CD-ROMScontent. If this is not installed on your system, you will needto install it. If you have Windows 95 or NT4 double-click on“mpfull.exe” and if you have Windows 98, 2000 or XP doubleclick“wmp7.exe”. You may also download installers from theMicrosoft Windows Media Player Web site:http://www.microsoft.com/windows/windowsmedia/9series/player.aspxThe minimum computer specification is a Pentium PII (PentiumPIII recommended), with 64Mb RAM (128Mb recommended),an 8x CD-ROM drive and a monitor capable of displaying16-bit colour (thousands) at 800 × 600.© 2003 Christopher Williams, St Mark’s Hospital, London.
Practical Gastrointestinal Endoscopy: The Fundamentals, Fifth EditionPeter B. Cotton, Christopher B. WilliamsCopyright © 2003 by Blackwell Publishing Ltd1The Endoscopy Unitand Staff1Most endoscopists, and especially beginners, focus on the individualprocedures and have little appreciation of the extensiveinfrastructure that is now necessary for efficient and safe activity.Aging experts can remember practicing with one instrument,a makeshift room and, maybe, a passing nurse. Now many ofus work in large units with multiple procedure rooms full ofcomplex electronic equipment, with space dedicated to preparation,recovery and reporting, in collaboration with teams ofspecially trained nurses and support staff. Endoscopy has becomea sophisticated industry. More and more units resembleoperating room suites—but with a human touch. Endoscopistsare also learning (often painfully) some of the imperatives ofsurgical practice, such as efficient scheduling, disinfection andsafe sedation/anesthesia. Setting up and running an endoscopyunit is a complex topic with an expanding literature, of particularinterest to directors and nurse managers.Endoscopy is a team activity, requiring the collaborativetalents of many people of different backgrounds and training.It is difficult to overstate the importance of an appropriate environmentand professional support staff, in order to maintainpatient comfort and safety, and to optimize clinical outcomes.Procedures are performed by many different types of doctor, includinggastroenterologists, surgeons, internists (general physicians),some family practitioners and radiologists. Nowadayssome procedures are performed by specially trained nurses.There are also many different types of supporting staff.STAFFSpecially trained endoscopy nurses are essential.They have many important functions, including to:• prepare patients for their procedures, physically and mentally;• set up all of the necessary equipment;• assist the endoscopist during procedures;• monitor patients’ safety, sedation and recovery;• clean, disinfect and process equipment;• maintain quality control.Technicians and nursing aides may contribute to these functions.Large units need a variety of other staff, to handle reception,transport, reporting and equipment management.
Page 2 and 3: PracticalGastrointestinalEndoscopyT
Page 4 and 5: iiiContentsPreface to the fifth edi
Page 6 and 7: vPreface to the fifth editionOur ea
Page 8 and 9: viiAcknowledgementsPeter Cotton gra
Page 12 and 13: 2CHAPTER 1FACILITIESThe modern endo
Page 14 and 15: 4CHAPTER 1and vendors. They need to
Page 16 and 17: 6Practical Gastrointestinal Endosco
Page 18 and 19: 8CHAPTER 2FiberscopesFig. 2.2-Total
Page 20 and 21: 10CHAPTER 2ProgrammaswitchesBrake(F
Page 22 and 23: 12CHAPTER 2Fig. 2.11- Control handl
Page 24 and 25: 14CHAPTER 2ElectrodeArgon(a)Cloud o
Page 26 and 27: 16CHAPTER 2equipment manufacturers
Page 28 and 29: 18CHAPTER 2• Clean all instrument
Page 30 and 31: 20CHAPTER 2Axon ATR, ed. Infection
Page 32 and 33: 22CHAPTER 34 -To screen for maligna
Page 34 and 35: 24CHAPTER 3What Will Happen During
Page 36 and 37: 26CHAPTER 3RISKS AND UNPLANNED EVEN
Page 38 and 39: 28CHAPTER 3during therapeutic proce
Page 40 and 41: 30CHAPTER 3MONITORINGAlthough the e
Page 42 and 43: 32CHAPTER 3AntagonistsMeperidine®
Page 44 and 45: 34CHAPTER 3it may be wise to offer
Page 46 and 47: 36CHAPTER 3Sedation and monitoring
Page 48 and 49: 38CHAPTER 4WRONG!RIGHTFig. 4.1• a
Page 50 and 51: 40CHAPTER 4(b)(c)EpiglottisVocal co
Page 52 and 53: 42CHAPTER 4patient asked to swallow
Page 54 and 55: 44CHAPTER 4Fig. 4.11 The route to t
Page 56 and 57: 46CHAPTER 4Fig. 4.18 Corkscrew the
Page 58 and 59: 48CHAPTER 4• hand it over to the
Page 60 and 61:
50CHAPTER 4stricture above which th
Page 62 and 63:
52CHAPTER 4on macroscopic appearanc
Page 64 and 65:
54CHAPTER 4The methods for handling
Page 66 and 67:
56CHAPTER 4Fig. 4.29 An overtube wi
Page 68 and 69:
58CHAPTER 4Jaffe PE. Technique of u
Page 70 and 71:
60CHAPTER 5Fig. 5.1-A deflated ‘t
Page 72 and 73:
62CHAPTER 5Fig. 5.4-Advance the dil
Page 74 and 75:
6 4CHAPTER 5of their treatment limi
Page 76 and 77:
66CHAPTER 5Post-stent managementPat
Page 78 and 79:
68CHAPTER 5FOREIGN BODIESForeign bo
Page 80 and 81:
70CHAPTER 5Button batteries usually
Page 82 and 83:
72CHAPTER 5Changing the patient’s
Page 84 and 85:
74CHAPTER 5Care after variceal trea
Page 86 and 87:
76CHAPTER 5with thinner walls (e.g.
Page 88 and 89:
78CHAPTER 5(c)Wire2-The - patient i
Page 90 and 91:
80CHAPTER 5Percutaneous endoscopic
Page 92 and 93:
82CHAPTER 5McBride MA, Ergun GA. Th
Page 94 and 95:
84CHAPTER 6computed tomography (CT)
Page 96 and 97:
86CHAPTER 6has experienced the chag
Page 98 and 99:
88CHAPTER 6patient without an anest
Page 100 and 101:
90CHAPTER 6may affect management. A
Page 102 and 103:
92CHAPTER 6Full preparationThe obje
Page 104 and 105:
94CHAPTER 6addition of prokinetic a
Page 106 and 107:
96CHAPTER 6start within about an ho
Page 108 and 109:
98CHAPTER 6days before taking the m
Page 110 and 111:
100CHAPTER 670-80% success in perfo
Page 112 and 113:
102CHAPTER 6Benzodiazepines have a
Page 114 and 115:
104CHAPTER 6of local trauma. At-ris
Page 116 and 117:
106CHAPTER 6lar disease. The pediat
Page 118 and 119:
108CHAPTER 6(a)(b)(c)Fig. 6.4-(a) S
Page 120 and 121:
110CHAPTER 6Fig. 6.7-Persistent des
Page 122 and 123:
112CHAPTER 6Fig. 6.11-The distal co
Page 124 and 125:
114CHAPTER 6(Fig. 6.13) entirely fr
Page 126 and 127:
116CHAPTER 6Middle 'helper' fingerF
Page 128 and 129:
118CHAPTER 6around bends. This is p
Page 130 and 131:
120CHAPTER 6Fig. 6.25-A single-hand
Page 132 and 133:
122CHAPTER 6Fig. 6.31-Aim at the ce
Page 134 and 135:
124CHAPTER 6(a)(b)Fig. 6.34-(a) The
Page 136 and 137:
126CHAPTER 6Fig. 6.41-A reversed al
Page 138 and 139:
128CHAPTER 6(a)(b)Fig. 6.44-Rotatio
Page 140 and 141:
130CHAPTER 6colon, complete removal
Page 142 and 143:
132CHAPTER 6(a)90cmstart to slide b
Page 144 and 145:
134CHAPTER 6??(a)NoYes(b)Fig. 6.50-
Page 146 and 147:
136CHAPTER 6steering causes the tip
Page 148 and 149:
138CHAPTER 6(a) (b)(c) (d)Fig. 6.56
Page 150 and 151:
140CHAPTER 6(a)(b)Fig. 6.60-(a) In
Page 152 and 153:
142CHAPTER 6Summary: passing the sp
Page 154 and 155:
144CHAPTER 6Fig. 6.65-A split overt
Page 156 and 157:
146CHAPTER 6(a)(b)Fig. 6.70-(a) Tra
Page 158 and 159:
148CHAPTER 6(a)90cm(b)40cmFig. 6.76
Page 160 and 161:
150CHAPTER 6(a)(b)(c)Fig. 6.81-(a)
Page 162 and 163:
152CHAPTER 6Fig. 6.83-Transillumina
Page 164 and 165:
154CHAPTER 6Fig. 6.86-The ileo-ceca
Page 166 and 167:
156CHAPTER 6(a) (b) (c)Fig. 6.91-En
Page 168 and 169:
158CHAPTER 6LocalizationFig. 6.93-P
Page 170 and 171:
160CHAPTER 6If in doubt indent in s
Page 172 and 173:
162CHAPTER 6Apart from lipomas or s
Page 174 and 175:
164CHAPTER 6Fig. 6.96-Balloon for p
Page 176 and 177:
166CHAPTER 6with a larger dose of p
Page 178 and 179:
168CHAPTER 6nel without this being
Page 180 and 181:
170CHAPTER 6Bosset de V, Froehlich
Page 182 and 183:
172Practical Gastrointestinal Endos
Page 184 and 185:
174CHAPTER 7Rbe useful for the thic
Page 186 and 187:
176CHAPTER 7Fig. 7.13 Heating occur
Page 188 and 189:
178CHAPTER 7POLYPECTOMYStalked poly
Page 190 and 191:
180CHAPTER 7(a)(b)Fig. 7.22 (a) To
Page 192 and 193:
182CHAPTER 7process. Snaring has th
Page 194 and 195:
184CHAPTER 7Piecemeal removal issaf
Page 196 and 197:
186CHAPTER 7ElectrodeArgon(a)Cloud
Page 198 and 199:
188CHAPTER 7Fig. 7.38 ‘Leak’ cu
Page 200 and 201:
190CHAPTER 7into the end of the tub
Page 202 and 203:
192CHAPTER 7Fig. 7.42 A1·mL India
Page 204 and 205:
194CHAPTER 7intravenous infusion al
Page 206 and 207:
196CHAPTER 7duodenal polypectomy or
Page 208 and 209:
198CHAPTER 7pass through small-diam
Page 210 and 211:
200CHAPTER 7Fig. 7.45 Point coagula
Page 212 and 213:
202CHAPTER 7Ellis KK, Fennerty MB.
Page 214 and 215:
204CHAPTER 8Gastrointestinal Endosc
Page 216 and 217:
206CHAPTER 8GastroHep, http://www.g
Page 218 and 219:
208INDEXchlorine dioxide, 18chromos
Page 220 and 221:
210INDEXgastricbezoars, 69erosions,
Page 222 and 223:
212INDEXred outs, 40, 114, 123, 154
show all

Practical Gastrointestinal Endoscopy

Create successful ePaper yourself

Delete template?

Save as template?