210INDEXgastricbezoars, 69erosions, 51folds, 51malignancy, 51–2polyps, 67stenosis, 67ulcers, 51varices, 72–4, 73gauze, 181getting lost, 48glucagon, 32, 103glutaraldehyde, 18goblet cells, 111gravity, 123hairpin bends, 135, 145hand pressure, 126non-specific, 148sigmoid, 148–9, 149specific, 148, 149transverse,148–9, 149haustral folds, 112, 146heat probe, 75Helicobacter pylori, 27, 51, 55, 76hemangiomas, 163, 199–200, 200hemorrhoids, 163hemostasis, 76hemostatic clips, 75, 76hepatic flexure, 146,147passing around, 149–51, 149,150hiatus hernia, 43Hirchsprung’s disease, 97hot biopsy, 177, 182, 183hot-biopsy forceps, 182hyoscine butylbromide, 32, 103hyperaemia, 51hyperplastic polyp, 161–2hypotensive episodes, 86–7hypoxia, 27ileo-anal pouch, 165ileo-cecal valve, 152–3, 153, 154,159ileostomy, 164ileum, 156entering, 153–5, 154, 155terminal, 155–6illumination, 9, 167image documentation, 12incomplete mesocolon, 109India ink, 192indigo carmine, 53, 161infection, 27control of, 15–16, 16inflammatory bowel disease,162–3informed consent, 22, 88injection needles, 173injection polypectomy, 184, 185injection sclerotherapy, 72–3,73, 74Innoflex variable colonoscope,105stiffening, 105innominate grooves, 160insertion of endoscope, 37–42,112–15, 113, 114, 115blind, 40–1direct vision, 38–40, 39,40finger-assisted, 41–2, 41, 113with tube in place, 42insertion tube, 10, 42instrument blockage, 14–15, 167–8instrumentation channels, 10intussusception, 199inverted cecum, 110J maneuver, 47, 48juvenile polyposis, 190lasers, 13–14, 14lateral vision, 11lavage, 71–2, 71leak currents, 188left lateral position, 37light guide, 9light guide connector, 9light source, 9linitis plastica, 52loopsalpha, 106, 125, 129, 130,131atypical, 110, 132–3atypical counter-clockwise, 132gamma, 146, 148reversed alpha, 125, 126,132,132–3,139shaft, 133spiral, 129–30, 130loss of view, 49Lugol solution, 53magnesium salts, 94–5Mallory–Weiss tears, 50mannitol, 94mechanical cleaning, 17–18megacolon, 97Ménétrier disease, 51meperidine, 31Mercedes Benz sign, 151mesocolondescending, 110incomplete, 109persistent, 109,110,126sigmoid, 145transverse, 145,146methylene blue, 156, 161midazolam, 31,101mini-snare,182mobile cecum, 110mobile colon, 109, 110mobile descending colon, 138–9Mount Fuji effect, 182, 183mucosal microanatomy, 111
INDEX 211mucosal resection, 67, 196mucus secretion,167mucus trap, 181N loops, 129–30, 130,135naloxone, 31,102narcotics, 31needle aspiration devices, 12neodymium-YAG laser, 13nitrous oxide, 100–1, 100non-critical accessories, 16non-specific hand pressure, 148nurse’s report, 4nutritional support, 80O-rings, 15, 168occult blood loss, 163Ogilvie’s syndrome, 198opiates, 102oral lavage, 93–5ingestion of oral preparations,95–7magnesium salts, 94–5mannitol, 94PEG-electrolyte solution, 93–4sodium phosphate, 95overtubes, 12, 56, 68,106,142, 143,144packing fraction, 8pain, 164–5, 164pain mapping, 163–4, 164palpation, 159–60pan-endoscopy, 6paradoxical movement, 126, 147patient distress, 48patient position, 150change, 142left lateral, 37patient preparation, 22–5, 90–9bowel, 91–2, 97–9diet, 92–3mental, 22, 23–5oral, 95–7oral lavage, 93–5physical, 22pediatric colonoscopy, 165–6pediatric endoscopy, 57pepper and salt ulceration, 52peracetic acid, 18percutaneous endoscopicgastrostomy, 77–9, 78, 79percutaneous endoscopicjejunostomy, 80perforation, 27, 66–7, 194danger of, 79, 86peri-procedure areas, 3persistent mesocolon, 109,110,126pethidine, 102Peutz–Jeghers polyposis, 190, 191Peyer’s patches, 19, 155pharyngeal anesthesia, 32phrenicocolic ligament, 139laxity of, 148use as fulcrum, 139piecemeal polypectomy, 183, 184,185piggy-back method, 199pixels, 8polyethylene glycol solution, 93–4polyp retrieval, 173, 190–1polyp retrieval net, 180polyp suction trap, 181polypectomy, 67, 178–83complications, 193–4difficulties, 183–93injection, 184, 185outside colon, 195–7, 197piecemeal, 183, 184,185safety, 194–5specimen retrieval, 189–91polyposisjuvenile, 190Peutz–Jeghers, 190, 191polyps, 161–2duodenal, 67gastric, 67hyperplastic, 161–2malignant, 162, 191–3rectal, 163, 186–7sessile, 183, 184,185–6, 186small, 181–3stalked, 178–81, 179,180,181,187–9surgical management seepolypectomyposition change, 142post-polypectomy syndrome, 194postoperative endoscopy, 56–7pre-snaring, 188procedure reports, 4–5procedure rooms, 2–3, 2programmable switches, 10propofol, 32, 102pull snaring, 179pull technique, 77–8, 78,179pulmonary aspiration, 27pulmonary disease, 28purgatives, 96–7purges, 96–7push snaring, 162push technique, 78–9push-through sigmoid, 128–9, 128pyloric ring, 44pylorus, diagnostic survey, 44–5,45quality control, 19radio frequency, 174rectal bleeding, 163rectal polyps, 163, 186–7rectum, 111
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iiiContentsPreface to the fifth edi
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vPreface to the fifth editionOur ea
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viiAcknowledgementsPeter Cotton gra
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2CHAPTER 1FACILITIESThe modern endo
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6Practical Gastrointestinal Endosco
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32CHAPTER 3AntagonistsMeperidine®
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