Foreign Bodies
Foreign Bodies (Gastrointest Endosc 2002;55:802-06) DEFINITION: Ingestion of a foreign substance EPIDEMIOLOGY: Approximately 1500-3000 people die every year due to foreign body ingestion Only 10-20% of foreign bodies require removal…
Endoscopic Ultrasound (EUS)
Endoscopic Ultrasound (EUS) (Gastrointest Endosc 2005;61:8-12) INDICATIONS: Esophagus Esophageal carcinoma T and N staging Submucosal nodules and extrinsic compression Stomach and Duodenum Gastric cancer staging Submucosal nodules and extrinsic compression…
Endoscopic Retrograde Cholangiopancreatography (ERCP)
Endoscopic Retrograde Cholangiopancreatography (ERCP) (Gastrointest Endosc 2005;62:1-8 & 2003;57:633-38) INDICATIONS: Biliary Diagnosis and extraction of common bile duct stones (if high suspicion) Diagnosis of primary sclerosing cholangitis Investigation, brushing and…
Esophagogastroduodenoscopy (EGD)
Esophagogastroduodenoscopy (EGD) (Gastrointest Endosc 2002;55:784-93 & 2000;52:831-837) INDICATIONS: Diagnostic: Upper GI symptoms that are persistent or worrisome: dysphagia/odynophagia; abdominal pain; gastric outlet obstruction; chest pain after cardiac evaluation, iron deficient…
Colonoscopy
Colonoscopy (Gastrointest Endosc 2003;57:441-5) INDICATIONS: Diagnostic: Screening for colon polyps/cancer; including preoperative evaluation of patients with known colon cancer Symptom evaluation: bleeding (occult or gross) or Abnormal X-ray findings (i.e….
Capsule Endoscopy
Capsule Endoscopy INDICATIONS: Obscure GI bleeding Signs of GI bleeding: Melena, Hematochezia, Iron deficient anemia Abnormal GI X-ray Crohn’s disease Unexplained abdominal pain AdvanCE: Endoscopic device to deliver the capsule…
Balloon Tamponade
Balloon Tamponade Minnesota Tube (4 lumen) is current standard for use; Lumens include: Gastric suction Esophageal suction Gastric balloon and pressure monitoring Esophageal balloon and pressure monitoring Sengstaken-Blakemore Tube (3…
Anticoagulation & Antiinflammatory Management for Endoscopy
Anticoagulation & Antiinflammatory Management for Endoscopy (Gastrointest Endosc 2005;61:189-194) WARFARIN THERAPY HIGH-RISK PATIENTS:Afib associated with valvular diseaseMechanical valve in the mitral positionMechanical valve and prior thromboembolic event LOW-RISK PATIENTS:DVTUncomplicated or…
Variceal Bleeding
Variceal Bleeding (Gastrointest Endosc 2005;62:651-5. NEJM 2001;345:669-81) DEFINITION: Bleeding from varices For Portal Hypertensive Gastropathy (PHG) and Gastric antral vascular ectasia (GAVE), See also GI Bleed- UGIB & LGIB (Chapter…
