Practical Pediatric Gastrointestinal Endoscopy

✍ Scribed by George Gershman, Marvin Ament

• Publisher: Wiley-Blackwell
• Year: 2007
• Tongue: English
• Leaves: 218
• Edition: 1
• Category: Library

✦ Synopsis

Practical Pediatric Gastrointestinal Endoscopy is the only text available that provides detailed instructions of all practical aspects of diagnostic and therapeutic endoscopic procedures in children.

It gives detailed descriptions of the investigation, diagnosis and therapeutic pediatric GI endoscopy treatments with special attention to the differences between instruments used for adults and for pediatric patients.

The advice is based on unique personal experience of thousands of endoscopic or colonoscopic procedures, written by a team of authors with experience in performing the diagnostic and therapeutic endoscopic procedures in children and infants of all ages.

The key points of each step are accompanied by easy-to-follow color diagrams and a comprehensive atlas of endoscopic images, illustrating both normal and abnormal pathology, aiding and perfecting diagnosis and treatment.

The step-by-step description of each procedure explains the purpose of each maneuvre, with much greater emphases on the practical aspects of diagnostics and therapeutic procedures to provide the best results and maximize patient safety. It looks at patient care before, during and after procedures and considers the new and less invasive Wireless Capsule Endoscopy options that will be less traumatic for the pediatric patient.

✦ Table of Contents

Practical Pediatric Gastrointestinal Endoscopy......Page 1
Contents......Page 7
Contributors......Page 10
1 Introduction......Page 11
The endoscopy unit......Page 12
Pediatric endoscopy nurse......Page 13
Documentation......Page 14
Further reading......Page 15
Insertion tube......Page 16
Video image capture......Page 26
“Reading’’ the image created on the CCD......Page 28
Types of CCDs......Page 30
History of endoscope CCD development......Page 31
Shape of displayed image......Page 32
Reproduction of color......Page 33
Reproduction of motion......Page 42
Laser therapy with video endoscopes......Page 43
Image resolution......Page 44
Endoscope reprocessing......Page 45
Further reading......Page 53
4 Patient Preparation......Page 55
Pediatric-monitored sedation and anesthesia for diagnostic and therapeutic procedures in endoscopy......Page 56
During sedation......Page 61
Specific sedation techniques......Page 62
Further reading......Page 67
Preparation for esophageal intubation......Page 70
Assembling the equipment and preprocedure checkup......Page 71
Endoscope handling......Page 72
Technique of esophageal intubation......Page 73
Indications for upper endoscopy......Page 87
Push enteroscopy/jejunoscopy......Page 104
Further reading......Page 107
Benign esophageal stricture......Page 112
Pneumatic dilation in achalasia......Page 113
Foreign bodies......Page 115
Endoscopic hemostasis......Page 119
Percutaneous endoscopic gastrostomy......Page 127
Nasojejunal tube placement......Page 135
Further reading......Page 137
Indications for colonoscopy......Page 142
Preparation of the patient for colonoscopy......Page 144
Equipment......Page 147
Magnetic imaging system......Page 148
Sedation for colonoscopy......Page 149
Embryology of the colon......Page 150
Endoscopic anatomy......Page 152
Torque-steering technique......Page 157
Exploration of the sigmoid colon and sigmoid–descending junction......Page 162
Splenic flexure and transverse colon......Page 164
Hepatic flexure, ascending colon, and cecum......Page 165
Terminal ileum......Page 166
Complications......Page 167
Common pathology......Page 169
Further reading......Page 178
Basic principles of electrosurgery......Page 181
Snare loops......Page 183
Safety routine......Page 185
Safety conditions and techniques......Page 186
Further reading......Page 190
Indications......Page 191
Application technique......Page 194
Recognition of the lesions......Page 199
Further reading......Page 203
The GIVEN M2A system......Page 204
Localization......Page 205
Diagnostic yield......Page 206
Bowel preparation......Page 207
Pediatric patients......Page 208
Further reading......Page 209
Index......Page 211