Endoscopic Mucosal Resection (EMR)
Indications for EMR in the colon and rectum Nonpolypoid colorectal neoplasms Lesions greater than 20 mm Difficult locations Dentate line Ileocecal valve Appendiceal orifice Folds Lesions over scars Lesions in…
Applications of Intraoperative Endoscopy
Fig. 17.1 Typical setup of colonoscopy tower with CO2 insufflator Fig. 17.2 Sample operating room setup As reviewed earlier, a critical component for intraoperative endoscopy is the ability to use…
History of Colonoscopy
Fig. 1.1 Bozzini’s original Lichtleiter . Courtesy of Archives of the American College of Surgeons, “The Bozzini Endoscope,” Online April 6, 2011 Dr. Bozzini first introduced his creation to the…
Basic Colonoscopic Interventions: Cold, Hot Biopsy Techniques, Submucosal Injection, Clip Application, Snare Biopsy
Fig. 9.1 Jumbo biopsy forceps A recent meta-analysis investigated the role of cold forceps polypectomy during screening colonoscopy has been performed. Five randomized controlled trials, which included 668 patients in…
Alternative Colorectal Imaging
Fig. 21.1 CT colonography (CTC) in a patient with incomplete colonoscopy. (a) 3D colon map from CTC shows the colonic anatomy, including marked redundancy and tortuosity. The colon measured 261…
VTE Prophylaxis: How to Optimize Patients on Anticoagulation and Avoid Infectious Complications
Risk factors Points C: congestive heart failure 1 H: hypertension 1 A: age>75 years 1 D: diabetes 1 S: prior history of stroke 2 Table 6.2 Correlation between CHADS2 score…
Detection: (CQI) Quality Measures and Tools for Improvement
Fig. 13.1 PDSA cycle to improve adenoma detection rate Quality Metrics in Colonoscopy The original publication on quality measures in colonoscopy was published in 2002 by the U.S. Multi-Society Task…
Current Guidelines for Colonoscopy
Setting Parameters Screening Absence of symptoms Defined risk categories (Table 10.2) Establishing the time for the first screening (Table 10.3) Quality assessment parameters for each test in general and in…
How to Achieve High Rates of Bowel Preparation Adequacy
Type Preparation Composition Volume Split dosing regimens Price Purgative Other liquid Isosmotic Polyethylene glycol electrolyte solution (PEG-ELS) Polyethylene glycol, sodium sulfate, sodium, bicarbonate, sodium chloride, potassium chloride 4 L None…
Patient Comfort During Colonoscopy
Authors Study design Total procedures (% sedated procedures) Difference in CIR Difference in cecal intubation time Difference in ADR Bannert et al. [5] Retrospective 52,506 (86%) Yes (1.2%) No Radaelli…
