By Toyooki Sonoda
This ebook presents surgeons and gastroenterologists with cutting-edge innovations by way of complex colonoscopy. Chapters introduce equipment of removal polyps that weren't formerly amenable to colonoscopic snare polypectomy. complex thoughts similar to closure of perforations and intestinal stenting are widely coated. The textual content keeps a powerful emphasis on surgical/endoscopic process. large dialogue on gear and talent acquisition is usually coated. As many readers won't ever have obvious those advanced approaches ahead of, wide images and videos are supplied. The authors offer suggestions, methods, and pitfalls that would support the reader contain those new ideas into their practice.
Advanced Colonoscopy: Polypectomy and past may be of significant worth to any medical professional or gastroenterologist presently acting colonoscopy and attracted to complicated techniques.
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Additional resources for Advanced Colonoscopy: Principles and Techniques Beyond Simple Polypectomy
In cases of massive bleeding, injection of hypertonic saline-epinephrine (HSE) is used to reduce bleeding and identify the bleeding point. Perforation Intra-procedural Perforation Intra-procedural perforation is one of the most serious complications of EMR. In contrast to upper gastrointestinal (GI) perforation, the risk of peritonitis increases in cases of colonic perforation because the colonic contents are not aseptic. However, 3 Endoscopic Mucosal Resection (EMR) 37 when a bowel perforation is immediately recognized, surgical treatment can mostly be avoided by endoscopic closure alone.
This makes the dissection faster, although maneuvering these knives is slightly difficult. The basic technique for using insulated tip types of devices involves the ability to pull or slide the device laterally from side to side. The IT knife has a ceramic ball at the tip of a needle knife, which insulates the tip, so that cutting is achieved not by the tip but by the blade of the needle. The best way to use it is to place the ceramic ball in the submucosal layer to hook the mucosa or the submucosal connective tissue and then pull back on the knife.
Gastrointest Endosc. 2001;54(5):629–32. 14. Yamamoto H, Kawata H, Sunada K, Satoh K, Kaneko Y, Ido K, et al. Success rate of curative endoscopic mucosal resection with circumferential mucosal incision assisted by submucosal injection of sodium hyaluronate. Gastrointest Endosc. 2002;56(4):507–12. 15. Ishiguro A, Uno Y, Ishiguro Y, Munakata A, Morita T. Correlation of lifting versus non-lifting and microscopic depth of invasion in early colorectal cancer. Gastrointest Endosc. 1999;50(3): 329–33. 16.