Pediatric EGD
Weight (kg) EGD <2.5 <6-mm gastroscope 2.5–10 <6-mm gastroscope preferred; standard adult gastroscope can be considered especially if therapeutic intervention required >10 Standard adult gastroscope Adapted from Barth et al….
GASTROENTEROLOGY
How to Perform a High-Yield Esophagogastroduodenoscopy
1. Upper abdominal symptoms that persist despite an appropriate trial of therapy 2. Upper abdominal symptoms associated with other symptoms or signs suggesting structural disease (e.g., anorexia and weight loss)…
Quality in Upper Endoscopy
This chapter discusses quality indicators (QIs) that have been identified by the various GI societies in the USA (the ASGE, ACG, and the AGA) as they pertain to the practice…
Enteroscopy for GI Fellows
Fig. 13.1 Sonde enteroscope [12] In the 1990s, push enteroscopy (PE) was introduced as an alternative using a specifically designed enteroscope with or without an overtube, or a colonoscope without an…
Nonvariceal Upper Gastrointestinal Bleeding
Further bleeding (average) (%) Prevalence (%) Spurting bleeding 80 9 Nonbleeding visible vessel 44 10 Adherent clot 20 12 Active oozing 10 6 Flat pigmented spot 10 8 Clean-based…
Foreign Body Removal
Fig. 4.1 Esophageal stricture located distal to an esophageal food impaction that was endoscopically removed Diagnosis History and Physical History is the most important element in diagnosing a gastrointestinal foreign body….
Complications of Upper Endoscopy and Their Management
Bleeding Perforation Gastric polypectomy 6–7.2% [95–97] 0–0.45% [9, 98] EMR: Esophagus 1.2% [101] 0.5–5% [102, 106] Gastric 0–11.5% [102–105] 1% [108] ESD: Esophageal 4.5–15.6% [108, 115] 2.3% [108, 118,…
Evaluation and Management of Mucosal and Submucosal Lesions in the Foregut
Fig. 12.1 Splenic artery. Endoscopy shows a pulsatile prominence in the posterior gastric wall. Varying views on EUS shows a tubular, also round anechoic structure. Doppler examination shows pulsatile flow Incidence…
Enteral Feeding Tubes: What Every Fellow Should Know
Fig. 9.1 a NET placement: clipping suture attached to nasoenteric feeding tube to small bowel. b NET placement: Nasoenteric feeding tube clipped to small bowel Percutaneous Enterostomy Tubes Enterostomy tubes are…
Diagnosis and Management of Barrett’s Esophagus
Fig. 5.1 a, b Endoscopic image of short-segment Barrett’s esophagus Fig. 5.2 a Endoscopic image of long-segment Barrett’s esophagus. b Close-up image of same patient as (a), with narrow band imaging (NBI)…
