By Joseph Leung MD, Simon Lo MD
Dr. Joseph Leung and Dr. Simon Lo have designed this particular reference, which deals professional suggestion, personal tastes, and critiques on tricky medical questions and occasions as a rule encountered in endoscopy. the original Q&A layout offers easy accessibility to present info with regards to healing endoscopy with the simplicity of a talk among colleagues. Illustrative photographs, diagrams, and references are integrated to augment the certainty of endoscopy.
Curbside session in Endoscopy: forty nine scientific Questions provides details uncomplicated sufficient for citizens whereas additionally incorporating specialist suggestion that even high-volume clinicians will have fun with. Gastroenterologists, fellows and citizens in education, surgical attendings, and surgical citizens will all enjoy the basic and informal structure and the specialist recommendation contained within.
Some of the questions which are answered:
• You have been known as via the ER general practitioner concerning a girl who tried to devote suicide by way of ingesting a few "toilet cleansing solution". there have been noticeable burns round the mouth and tongue. What might you do next?
• Is there a job for steel stents in benign bile duct strictures? while should still i take advantage of plastic stents during this setting?
• whilst Is EUS valuable for a Newly clinically determined melanoma of the Esophagus,Stomach, Colon, or Pancreas?
• i've got hassle controlling the course of a biliary papillotomy. Any tips to increase the implications ?
• What Are the good points that Differentiate a Submucosal Bulge from a real Mass on pill Endoscopy? What am i able to Do to verify a Submucosal Mass?
Read or Download Curbside Consultation in Endoscopy: 49 Clinical Questions PDF
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Are you trying to find concise, functional solutions to questions which are usually left unanswered through conventional references? Are you looking short, evidence-based suggestion for classy situations or problems? Curbside session in Endoscopy: forty nine medical Questions presents quickly and direct solutions to the thorny questions more often than not posed in the course of a “curbside session” among colleagues.
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Additional info for Curbside Consultation in Endoscopy: 49 Clinical Questions
Endoscopic criteria for diagnosis include 1) active arterial spurting or micropulsatile streaming from a < 3-mm mucosal defect (essentially the vessel itself), 2) visualization of a protruding vessel with or without active bleeding within a diminutive mucosal defect with normal surrounding mucosa, or 3) a densely adherent clot with a narrow point of attachment to a diminutive mucosal defect or normal-appearing mucosa, and the absence of ulceration. Once identified, endoscopic therapy is highly successful, with hemostasis achieved in 96% of cases.
A double-channel endoscope is used to extract complex and ultra-long objects such as dental prostheses and chopsticks. Accessories used to remove foreign bodies include rat-tooth forceps, snare, W-shaped forceps, retrieval basket, tripod forceps, biopsy forceps, and alligator jaws forceps (Figure 3-1). A latex protector hood (Figure 3-2) or an overtube (Figure 3-3) is used to protect the upper GI tract during removal of sharp foreign bodies. Patients with psychiatric illness need general anesthesia with close monitoring of the heart rate and blood pressure.
ASGE Standards of Practice Committee, Evans JA, Early DS, Fukami N, et al; Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy. The role of endoscopy in Barrett’s esophagus and other premalignant conditions of the esophagus. Gastrointest Endosc. 2012;76(6):1087-94. 004. 2 QUESTION A 46-YEAR-OLD FEMALE WITH CIRRHOSIS CAME IN WITH SEVERE UPPER GI BLEEDING. HER PROXIMAL STOMACH IS FILLED WITH LARGE CLOTS AND GASTRIC VARICES ARE SUSPECTED. HOW CAN I TELL FOR CERTAIN ENDOSCOPICALLY, AND WHAT IS THE TREATMENT?