Kooperativer Bibliotheksverbund

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Format: 1 online resource (418 pages) : , illustrations (some color)

Edition: Third edition.

ISBN: 3-13-257893-2 , 3-13-147013-5

Note: Gastroenterological Endoscopy -- Media Center Information -- Title Page -- Copyright -- Dedication -- Preface -- List of Contributors -- Contents -- Video Contents -- Abbreviations -- I Introduction to Endoscopy -- 1 Education and Training in Endoscopy -- 1.1 Introduction -- 1.2 Clinical Education -- 1.2.1 Clinical Training to Competency in Esophagogastroduodenoscopy and Colonoscopy: Studies, Guidelines, and Assessment -- 1.2.2 Training in Endoscopic Retrograde Cholangiopancreatography -- 1.2.3 Complementary E-learning and Video Courses -- 1.3 Incorporation of Simulators in Training -- 1.4 Endoscopy Simulators and Training Models -- 1.4.1 Plastic Phantoms and Other Static Models -- 1.4.2. Computer Simulators -- 1.4.3 Training Courses with Live Animals -- 1.4.4 Ex Vivo Porcine Tissue Models (EASIE, Erlanger Endo-Trainer, EASIE-R) -- 1.4.5 Training Courses -- 1.4.6 Incorporating Simulator Training into Educational Programs and Maintaining Skills in Complex Procedures -- References -- 2 The Value of Clinical Research -- 2.1 Introduction -- 2.2 Keys to Success -- 2.2.1 A Tough Skin -- 2.2.2 Building Teams -- 2.3 Designing Clinical Trials -- 2.3.1 Generating Ideas -- 2.3.2 Refining Ideas -- 2.3.3 Clinical Trial Design -- 2.3.4 Grant Writing -- 2.3.5 Conducting Clinical Trials -- 2.3.6 Presentation and National Meetings -- 2.3.7 Manuscript Writing -- 2.4 Ethics -- 2.4.1 Conflict of Interest -- 2.4.2 Registration of Clinical Trials and Underreporting of Negative Trials -- 2.4.3 Falsification of Data -- 2.4.4 Plagiarism -- 2.5 Manuscript Submission and Review Process -- 2.5.1 Expanding the Reach -- 2.5.2 The Future of Scientific Publications -- References -- II The Patient and Endoscopy -- 3 Informed Consent for Gastrointestinal Endoscopy -- 3.1 Introduction -- 3.2 What Is "Informed Consent"? -- 3.3 Clinician and Patient Relationship. , 3.4 What Information Is Required? -- 3.5 How Should the Information Be Provided? -- 3.6 Where and When Should the Consent Be Taken? -- 3.7 Withdrawal of Consent -- 3.8 Exceptions to the Requirement of Consent -- References -- 4 Patient Preparation and Sedation for Endoscopy -- 4.1 Introduction -- 4.2 Presedation Assessment -- 4.3 Monitoring during Endoscopic Sedation -- 4.3.1 Introduction -- 4.3.2 Hemodynamic Monitoring -- 4.4 Pharmacology -- 4.4.1 Introduction -- 4.4.2 Benzodiazepines -- 4.4.3 Opioids -- 4.4.4 Propofol -- 4.4.5 Who Should Perform Endoscopic Sedation? -- 4.5 Postprocedure Care -- 4.5.1 Monitoring during Recovery -- 4.5.2 Discharge -- References -- 5 Design of the Endoscopy Suite -- 5.1 Introduction -- 5.2 General Questions and Considerations -- 5.3 Guidelines for Planning an Endoscopy Suite -- 5.4 Pathways for Patients, Staff, and Material -- 5.5 Location of the Unit -- 5.6 Number of Rooms -- 5.7 X-Ray Requirements -- 5.8 The Endoscopic Examination Room -- 5.8.1 Size of the Rooms -- 5.8.2 Equipment -- 5.8.3 Monitor Systems and Anesthesia -- 5.8.4 Video Integration and PC-Based Documentation -- 5.8.5 Endoscopes and Endoscopic Equipment -- 5.9 Endoscopic Ultrasound and Laser Treatment Room, Radiography Room -- 5.10 Preparation and Recovery Room -- 5.11 Cleaning and Disinfection Area -- 5.12 Staffing -- References -- 6 Cleaning and Disinfection in Endoscopy -- 6.1 Introduction -- 6.2 Principles of Disinfection -- 6.2.1 Definitions -- 6.2.2 Application to Gastrointestinal Endoscopes -- 6.2.3 Liquid Chemical Germicides and Automated Endoscope Reprocessors -- 6.3 Transmission of Infection by Gastrointestinal Endoscopy -- 6.3.1 Transmission by Endoscopes with Elevators -- 6.3.2 Failure or Breach in Reprocessing -- 6.3.3 Unusual Organisms -- 6.4 Design and Oversight of Reprocessing Facilities -- References. , 7 Electrosurgical Principles for Endoscopy -- 7.1 Introduction -- 7.2 Electrosurgical Principles -- 7.2.1 Electrical and Tissue Variables -- 7.2.2 Monopolar versus Bipolar Circuit -- 7.3 Electrosurgical Units and Waveforms -- 7.4 Practical Applications -- 7.4.1 Snare Polypectomy -- 7.4.2 Hot Biopsy -- 7.4.3 Sphincterotomy -- 7.4.4 Hemostasis -- 7.4.5 Miscellaneous -- 7.5 Electrosurgical Hazards and Safety -- 7.5.1 Unintended Burn Injury -- 7.5.2 Implanted Electromagnetic Devices -- 7.5.3 Bowel Explosion -- 7.6 Conclusion -- References -- 8 Antibiotic Prophylaxis in Endoscopy -- 8.1 Introduction -- 8.2 Bacteremia Related to Endoscopic Procedures -- 8.2.1 Procedures Associated with Low Risk of Bacteremia -- 8.2.2 Procedures Associated with High Risk of Bacteremia -- 8.3 Antibiotic Prophylaxis for the Prevention of Infective Endocarditis -- 8.3.1 Antibiotic Prophylaxis for the Prevention of Procedural-Related Infections (Other Than IE) -- 8.4 EUS-FNA -- 8.5 Percutaneous Endoscopic Gastrostomy/Jejunostomy -- 8.6 Cirrhosis with GI Bleeding -- 8.7 Synthetic Vascular Grafts and Other Nonvalvular Cardiovascular Devices -- 8.8 Orthopaedic Prostheses -- 8.9 Patients Receiving Peritoneal Dialysis -- References -- 9 Quality Assurance in Endoscopy -- 9.1 The Importance of Quality -- 9.2 Performance Measures -- 9.3 Practicalities of Measurement -- 9.3.1 Clinical Importance -- 9.3.2 Standardization -- 9.3.3 Practicality -- 9.3.4 Governance Infrastructure -- 9.3.5 Negative Aspects -- 9.4 Quality Improvement -- 9.5 Summary -- References -- 10 Endoscopic Complications -- 10.1 Introduction -- 10.2 General Considerations -- 10.2.1 Cardiopulmonary and Sedation-Related Events -- 10.2.2 Infection -- 10.3 Upper Gastrointestinal Endoscopy -- 10.3.1 Diagnostic Upper Gastrointestinal Endoscopy -- 10.3.2 Therapeutic Upper Gastrointestinal Endoscopy. , 10.3.3 Management of Upper Gastrointestinal Perforation -- 10.3.4 Management of Upper GI Bleeding -- 10.4 Small Bowel Endoscopy -- 10.5 Colonoscopy -- 10.5.1 Perforation -- 10.5.2 Management of Colonic Perforation -- 10.5.3 Bleeding -- 10.5.4 Unusual Complications -- 10.6 ERCP -- 10.6.1 Bleeding -- 10.6.2 Perforation -- 10.6.3 Infections -- 10.6.4 Post-ERCP Pancreatitis -- 10.7 Other Techniques -- 10.7.1 EUS-Guided Celiac Block/Neurolysis -- 10.7.2 EUS-Guided Drainage of Pancreatic Fluid Collections -- 10.7.3 Peroral Endoscopic Myotomy -- 10.8 Conclusion -- 10.9 Key Points -- References -- 11 Anticoagulation and Endoscopy -- 11.1 Introduction -- 11.2 Antithrombotics -- 11.2.1 Antiplatelet Agents -- 11.2.2 Anticoagulants Agents -- References -- III General Diagnostic and Therapeutic Procedures and Techniques -- 12 Upper Gastrointestinal Endoscopy -- 12.1 History of Upper Gastrointestinal Endoscopy -- 12.2 General Diagnostic Techniques -- 12.2.1 Indications -- 12.2.2 Contraindications -- 12.3 Preparation of the Patient -- 12.4 Sedation -- 12.5 Use of Antifoaming Agents and Antispasmotics -- 12.6 Procedural Steps for Upper Gastrointestinal Endoscopy -- 12.6.1 Insertion and Observation -- 12.6.2 Esophagus -- 12.6.3 Esophagogastric Junction -- 12.6.4 Stomach and Duodenum -- 12.6.5 Transnasal Upper Endoscopy -- 12.7 Common Pathologies for Upper Gastrointestinal Endoscopy -- 12.7.1 I: Upper Gastrointestinal Cancers -- 12.7.2 II: Upper Gastrointestinal Hemorrhage -- 12.7.3 III: GERD and Barrett's Esophagus -- 12.8 Screening for BE -- 12.9 Surveillance for BE -- 12.10 Barrett's Esophagus-Related Dysplasia -- 12.11 Complications of Upper Gastrointestinal Endoscopy -- References -- 13 Enteroscopy Techniques -- 13.1 Introduction -- 13.2 Overview of Enteroscopy Procedures -- 13.2.1 Anatomical Characteristics of the Small Intestine. , 13.2.2 Classification and Principles of Device-Assisted Enteroscopy -- 13.2.3 Balloon-Assisted Enteroscopy (Double-Balloon Endoscopy/Single-Balloon Endoscopy) -- 13.2.4 Spiral Endoscopy -- 13.3 General Diagnostic Techniques -- 13.4 General Therapeutic Techniques -- 13.4.1 Hemostasis -- 13.4.2 Balloon Dilation -- 13.4.3 Polypectomy/Endoscopic Mucosal Resection -- 13.4.4 Retrieval of Foreign Bodies -- 13.5 Accessory Devices and Techniques -- 13.6 Indications for the Use of Device-Assisted Enteroscopy -- 13.6.1 Indications for Diagnostic Use -- 13.6.2 Indications for Follow-Up of Small Intestinal Lesions -- 13.6.3 Therapeutic Indications for Device-Assisted Enteroscopy -- 13.6.4 Miscellaneous Indications for Device-Assisted Enteroscopy -- 13.7 Procedure-Specific Quality Measures -- 13.8 Procedure-Specific Training Requirements -- 13.8.1 Minimizing Air Insufflation for Deep Intubation -- 13.8.2 Necessity of X-Ray Fluoroscopy during Device-Assisted Enteroscopy -- 13.9 Minimizing Procedure-Specific Complications -- 13.9.1 Complications of Balloon-Assisted Endoscopy -- 13.9.2 Complications of Spiral Endoscopy -- 13.10 Conclusions -- References -- 14 Wireless Video Capsule Endoscopy -- 14.1 Introduction -- 14.2 Technology -- 14.3 Setting and Preparation for Video Capsule Endoscopy -- 14.4 VCE Administration -- 14.5 Indications for VCE -- 14.6 Contraindications to VCE -- 14.7 Risk of VCE Retention -- 14.8 Reading a VCE Study -- 14.9 Conclusion -- References -- 15 Colonoscopy: Preparation, Instrumentation, and Technique -- 15.1 Introduction -- 15.2 Preparation -- 15.2.1 Indications and Contraindications -- 15.2.2 Patient Preparation -- 15.3 Basic Instrumentation -- 15.3.1 Sedation -- 15.3.2 Colonoscope -- 15.3.3 Accessories -- 15.4 Technique -- 15.4.1 Scope Insertion -- 15.4.2 Scope Withdrawal -- 15.4.3 Polypectomy -- 15.4.4 Complications. , 15.5 Quality Measures.

Additional Edition: ISBN 3-13-125853-5

Language: English

DOI: 10.1055/b-005-143334