By Douglas Adler MD
Core innovations in Colonoscopy covers all points of diagnostic and healing colonoscopy, emphasizing overarching ideas that gastroenterology fellows and physicians needs to recognize to be successful in either the technical and cognitive points of the process. during this finished source, Dr. Douglas G. Adler and his members presents a simple and functional overview of colonoscopy.
Core ideas in Colonoscopy aims to deal with and produce the middle innovations of colonoscopy: from the constitution and serve as of the colonoscope itself, to insertion thoughts, loop formation and relief, polypectomy thoughts for any scenario, the avoidance and administration of perforations and different opposed occasions, in addition to complicated concepts together with (but now not restricted to) endoscopic mucosal resection and colonic stenting.
Each bankruptcy inside of Core strategies in Colonoscopy is lavishly illustrated with a number of key photos to intensify and increase the written textual content, in addition to a plethora of information, methods, and amassed issues of knowledge in every one bankruptcy on all points of colonoscopy.
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Core techniques in Colonoscopy is observed by way of a video web site with particular movies attached to person chapters that might illustrate easy and complex colonoscopic concepts from many prime specialists and should additional improve the educational method. The addition of the video web site permits an improved studying event and permits the reader to monitor, hear, view many times, and reinforces the recommendations offered within the written text.
GI fellows, junior gastroenterologists, or even complex physicians will relish Core suggestions in Colonoscopy end result of the elementary and effective constitution that enables for the cloth to be quick learn, in addition to simply soak up the wealth of key sensible wisdom came across inside.
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Extra info for Core Concepts in Colonoscopy
25. Marion JF, Waye JD, Present DH, et al. Chromoendoscopy-targeted biopsies are superior to standard colonoscopic surveillance for detecting dysplasia in inflammatory bowel disease patients: a prospective endoscopic trial. Am J Gastroenterol. 2008;103(9):2342-2349. 26. Subramanian V, Mannath J, Raguath K, Hawkey CH. Meta-analysis: the diagnostic yield of chromoendoscopy for detecting dysplasia in patients with colonic inflammatory bowel disease. Aliment Pharmacol Ther. 2011;33(3):304-312. 27. Kiesslich R, Neurath MF.
Near focus is used, and a magnified view is achieved. Details of the dysplastic surface pattern are seen clearly with a magnified view. The tubular and somewhat torturous pit pattern (type IIIL and IV) is significantly larger than the normal pit pattern (type I) surrounding the abnormality (NICE classification type 2). Figure 2-11. White-light image of a mucus-covered sessile polyp. The surface pattern is not seen clearly because of mucus. 17,18 The prediction of the actual histologic finding of colonic polyps by advanced imaging techniques is an exciting concept that could allow endoscopists to decide, in real time, which polyps to remove and which polyps could possibly be ignored.
6 The current phase of water-assisted colonoscopy research was sparked by several recent studies, starting with a 2007 study by Leung et al7 noting that 52% of patients at a Veterans Affairs Medical Center in the United States were able to complete their colonoscopy with on-demand sedation and warm water infusion. Two main variations on water-assisted colonoscopy have been developed since then: water immersion and water exchange. Water immersion is the standard water-based technique where water is infused into the colon during insertion and suctioned predominantly during withdrawal (Figure 3-2).