Current Endoluminal Approaches: Transanal Endoscopic Microsurgery, Transanal Minimally Invasive Surgery and Transanal Total Mesorectal Excision

Jul 13, 2017 by in GASTROENTEROLOGY Comments Off on Current Endoluminal Approaches: Transanal Endoscopic Microsurgery, Transanal Minimally Invasive Surgery and Transanal Total Mesorectal Excision

Fig. 22.1 Patient positioning for TES and operative setup. Patients are most commonly placed in high lithotomy position (a). The TEO platform is inserted and secured to the operating table…

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Endoscopic Mucosal Resection (EMR)

Jul 13, 2017 by in GASTROENTEROLOGY Comments Off on 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…

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Applications of Intraoperative Endoscopy

Jul 13, 2017 by in GASTROENTEROLOGY Comments Off on 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…

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History of Colonoscopy

Jul 13, 2017 by in GASTROENTEROLOGY Comments Off on 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…

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Basic Colonoscopic Interventions: Cold, Hot Biopsy Techniques, Submucosal Injection, Clip Application, Snare Biopsy

Jul 13, 2017 by in GASTROENTEROLOGY Comments Off on 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…

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Alternative Colorectal Imaging

Jul 13, 2017 by in GASTROENTEROLOGY Comments Off on 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…

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