By Douglas Adler MD

Core strategies in Colonoscopy covers all points of diagnostic and healing colonoscopy, emphasizing overarching options that gastroenterology fellows and physicians needs to be aware of to be successful in either the technical and cognitive features of the process. during this complete source, Dr. Douglas G. Adler and his individuals offers an easy and functional evaluation of colonoscopy.

Core suggestions in Colonoscopy aims to handle and bring the center innovations of colonoscopy: from the constitution and serve as of the colonoscope itself, to insertion thoughts, loop formation and aid, polypectomy ideas for any state of affairs, the avoidance and administration of perforations and different adversarial occasions, in addition to complicated thoughts together with (but now not constrained to) endoscopic mucosal resection and colonic stenting.

Each bankruptcy within Core techniques in Colonoscopy is lavishly illustrated with a number of key photographs to intensify and improve the written textual content, in addition to a plethora of information, tips, and accrued issues of knowledge in every one bankruptcy on all aspects of colonoscopy.

Additional site Component!

Core recommendations in Colonoscopy is followed via a video web site with particular video clips hooked up to person chapters that would illustrate simple and complicated colonoscopic ideas from many top specialists and should extra increase the educational method. The addition of the video web site permits a far better studying event and permits the reader to observe, pay attention, view many times, and reinforces the suggestions awarded within the written text.

GI fellows, junior gastroenterologists, or even complicated physicians will relish Core options in Colonoscopy end result of the basic and effective constitution that permits for the fabric to be quick learn, in addition to simply take in the wealth of key useful wisdom stumbled on inside.

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Core Concepts in Colonoscopy

Middle innovations in Colonoscopy covers all elements of diagnostic and healing colonoscopy, emphasizing overarching techniques that gastroenterology fellows and physicians needs to understand to be successful in either the technical and cognitive features of the process. during this finished source, Dr. Douglas G.

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Kwon RS, Adler DG, ASGE Technology Committee, et al. High-resolution and high-magnification endoscopes. Gastrointest Endosc. 2009;69(3, pt 1):399-407. 15. Brooker JC, Saunders BP, Shah SG, et al. Total colonic dye-spray increases the detection of diminutive adenomas during routine colonoscopy: a randomized controlled trial. Gastrointest Endosc. 2002;56(3):333-338. 26 Chapter 2 16. Le Rhun M, Coron E, Parlier D, et al. High resolution colonoscopy with chromoscopy versus standard colonoscopy for the detection of colonic neoplasia: a randomized study.

Advanced neoplastic lesions tend to bleed when strongly irrigated by water jet; therefore, the strength of the water stream should be reduced at first, and then it can be increased as necessary. Use of spray catheters to deliver dye is recommended because they help distribute the dye evenly, minimizing pooling of excess dye. In addition, spray catheters can be used as an arm to hold down mucosal folds or to maintain a steady distance from the polyp for a near and magnified view to visualize the pattern in the most static manner 24 Chapter 2 Figure 2-15.

E1. 4. Baumann UA. Water intubation of the sigmoid colon: water instillation speeds up left-sided colonoscopy. Endoscopy. 1999;31(4):314-317. 5. Hamamoto N, Nakanishi Y, Morimoto N, et al. A new water instillation method for colonoscopy without sedation as performed by endoscopists-in-training. Gastrointest Endosc. 2002;56(6):825-828. 36 Chapter 3 6. Leung FW. Water exchange may be superior to water immersion for colonoscopy. Clin Gastroenterol Hepatol. 2011;9(12):1012-1014. 7. Leung JW, Mann S, Leung FW.

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