Table of contents

List of Video Clips, viii

Preface to the Eighth Edition, x

Preface to the First Edition, xi

Acknowledgments, xii

About the Companion Website, xiii

1 Welcome to Endoscopy, 1

Resources and links, 4

2 The Endoscopy Unit, Staff, and Management, 6

Endoscopy units, 6

Staff, 9

Management, behavior, and teamwork, 10

Documentation and quality improvement, 10

Educational resources, 11

Further reading, 11

3 Endoscopic Equipment, 13

Endoscopes, 13

Endoscopic accessories, 18

Ancillary equipment, 19

Electrosurgical units, 20

Lasers and argon plasma coagulation, 20

Equipment maintenance, 21

Infection control, 22

Cleaning and disinfection, 22

Further reading, 26

4 Patient Care, Risks, and Safety, 27

Patient assessment, 27

Patient education and consent, 32

Physical preparation, 37

Sedation/anesthesia, 37

Recovery and discharge, 40

Managing adverse events, 40

Further reading, 41

5 Upper Endoscopy: The Fundamentals, 43

Patient position, 43

Endoscopist position, 44

Endoscope handling, 44

Passing the endoscope, 45

Routine diagnostic survey, 48

Stomach, 50

Problems during endoscopy, 56

Recognition of lesions, 57

Specimen collection, 62

Diagnostic endoscopy under special circumstances, 65

Further reading, 67

6 Therapeutic Upper Endoscopy, 69

Benign esophageal strictures, 69

Achalasia, 73

Esophageal cancer palliation, 74

Gastric and duodenal stenoses, 77

Gastric and duodenal polyps and tumors, 78

Foreign bodies, 78

Acute bleeding, 82

Enteral nutrition, 90

Further reading, 94

7 Colonoscopy and Flexible Sigmoidoscopy, 97

History, 97

Indications and limitations, and alternatives, 97

Informed consent, 101

Contraindications and infective hazards, 102

Patient preparation, 103

Medication, 110

Equipment—present and future, 114

Anatomy, 119

Insertion, 125

Handling "single-handed," "two-handed," or two-person?, 127

Sigmoid colon—accurate steering, 131

Endoscopic anatomy of the sigmoid and descending colon, 134

Sigmoid colon—the bends, 137

Sigmoid colon—the loops, 137

Diverticular disease, 145

Descending colon, 147

Splenic flexure, 148

Transverse colon, 152

Hepatic flexure, 156

Ascending colon and ileo-cecal region, 158

Overtubes and balloon colonoscopy, 165

Examination of the colon, 165

Stomas, 174

Pediatric ileocolonoscopy, 174

Per-operative colonoscopy, 175

Further reading, 176

8 Therapeutic Colonoscopy, 179

Equipment, 179

Principles of polyp electrosurgery, 182

Approach to polypectomy, 185

Selection of polypectomy technique, 187

Polypectomy: Diminutive and small polyps, 187

Polypectomy: Large polyps, 191

Polypectomy: Problem polyps, 198

Recovery of polypectomy specimens, 200

Risks of polypectomy, 202

Other therapeutic procedures, 205

Further reading, 208

9 Advanced Endoscopic Procedures, 211

Small bowel endoscopy, 211

Endoscopic retrograde cholangiopancreatography (ERCP), 212

Endoscopic ultrasound (EUS), 212

Bariatric endoscopy, 212

Anti-reflux procedures, 213

Third space procedures and NOTES, 213

Epilogue: The Future? Comments from the Senior Authors, 214

Index, 216

 

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