Atlas of Colonoscopy

Transcription

1 Atlas of Colonoscopy Techniques - Diagnosis - Interventional Procedures Bearbeitet von Maximilian Bittinger, Helmut Messmann 1. Auflage Buch. 248 S. Hardcover ISBN Format (B x L): 23 x 31 cm Weitere Fachgebiete > Medizin > Klinische und Innere Medizin > Gastroenterologie, Proktologie Zu Leseprobe schnell und portofrei erhältlich bei Die Online-Fachbuchhandlung beck-shop.de ist spezialisiert auf Fachbücher, insbesondere Recht, Steuern und Wirtschaft. Im Sortiment finden Sie alle Medien (Bücher, Zeitschriften, CDs, ebooks, etc.) aller Verlage. Ergänzt wird das Programm durch Services wie Neuerscheinungsdienst oder Zusammenstellungen von Büchern zu Sonderpreisen. Der Shop führt mehr als 8 Millionen Produkte.

2 I General Information 1 General Information Regarding Examination... 2 G. Jechart Introduction... 2 Complications and Risks... 3 Indications and Contraindications... 2 Preparing for the Examination... 3 General Principles... 4 Anatomy of the Colon Basic Examination Technique and Colonoscopy Workstation... 7 G. Jechart Learning Examination Technique... 7 Instrument Features... 7 Operating the Endoscope... 8 Simulators Training on a Patient The Colonoscopy Workstation Examination Room Set-up Hygiene Standards for Reprocessing Equipment Radiography Equipment Regulations Modern Endoscopic Techniques Digital Structure Enhancement Chromoendoscopy Magnifying or Zoom Endoscopy Fluorescence Endoscopy II Normal Examination Procedure and Non-pathological Findings 4 Before the Examination A. Probst Informing the Patient Sedation and Medication Sedation and Analgesics Other Medications/Endocarditis Prophylaxis Patients with Pacemakers or Metal Implants Positioning the Patient Safety of the Patient and Monitoring Inserting the Endoscope and Advancing It in the Colon A. Probst Inspection and Palpation Passing the Anal Sphincter Endoscope Insertion in Postoperative Patients (Colostomy/Ileostomy) Advancing the Endoscope in the Sigmoid Colon (Sigmoidoscopy) Advancing Further to the Hepatic Flexure Proximal Colon Intubating the Ileocecal Valve and Terminal Ileum Looping and Using External Compression Techniques.. 34 Applying Simple Pressure over the Sigmoid Colon in the Left Lateral Position Simple and Combined Pressure with Patient in the Supine Position Transverse Pressure Pressure on the Right Flank Pressure over the Cecum Localizing the Endoscope Withdrawing the Endoscope and Blind Spots Retroflexion in the Rectum VII

3 6 Normal Appearance of the Intestinal Segments Normal Rectum Normal Sigmoid Colon Normal Descending Colon Normal Transverse Colon Normal Ascending Colon Normal Cecum and Ileocecal Valve Normal Terminal Ileum Normal Postoperative Appearances Restoring Intestinal Continuity III Pathological Findings 8 Diverticulosis and Diverticulitis Definitions Diverticulosis Clinical Picture Diagnosis Complications Differential Diagnosis Treatment Diverticulitis Clinical Picture Diagnosis Complications Differential Diagnosis Treatment Polyps and Polyposis Syndromes Polyps Definition Clinical Picture and Clinical Significance Diagnosis Epithelial Polyps Nonepithelial Polyps Surveillance Polyposis Syndromes Definition Clinical Picture and Clinical Significance Endoscopic Diagnosis Familial Adenomatous Polyposis (FAP) Peutz Jeghers Syndrome Juvenile Polyposis Differential Diagnosis Malignant Tumors Definition and Classification Clinical Picture and Clinical Significance Diagnosis Epithelial Tumors Malignant Nonepithelial Tumors Surveillance Submucosal Tumors Definition and Classification Clinical Picture and Clinical Significance Diagnosis Nonepithelial Tumors Carcinoids Treatment Colitis Inflammatory Bowel Diseases and Other Forms of Colitis R. Scheubel Definition Clinical Significance of Chronic Inflammatory Bowel Disease (IBD) Diagnosis Inflammatory Bowel Disease Indications for Ileocolonoscopy: VIII

4 Ulcerative Colitis Pouchitis Toxic Megacolon Carcinoma in Ulcerative Colitis Crohn Disease Differential Diagnosis of Chronic IBD Types and Other Forms of Inflammatory Bowel Diseases Differential Diagnosis: Ulcerative Colitis vs. Crohn Disease Other Differential Diagnoses Indeterminate Colitis Infectious Colitis Radiation Colitis Ischemic Colitis NSAID Colitis Diversion Colitis Pseudomembranous Colitis Other Rare Forms of Colitis Nonclassifiable Types of Colitis Acute and Chronic Lower Gastrointestinal Bleeding Definitions Epidemiology Prognosis and Clinical Course Diagnosis Endoscopic Diagnosis Chronic Lower Gastrointestinal Bleeding Acute Lower Gastrointestinal Bleeding Differential Diagnosis of Acute Lower Gastrointestinal Bleeding Diverticula Vascular Causes Dieulafoy Ulcer Ischemia Colitis Neoplasias Anorectal Diseases Vascular Malformations and Other Vascular Lesions Definitions Angiodysplasia (Telangiectasia) Epidemiology and Pathogenesis Histology Clinical Course and Prognosis Diagnosis Differential Diagnosis Syndromes/Vascular Malformations in Other Diseases Hemangiomas Epidemiology Histology Course and Prognosis Diagnosis Syndromes/Vascular Malformations in Other Diseases Melanosis Coli Definition Clinical Picture Diagnosis Therapy Surveillance Solitary Rectal Ulcer Syndrome Definition Clinical Picture Diagnosis Treatment Rare Diseases and Disorders Extrinsic Compression (Stenosis) Postoperative Strictures and Suture Granulomas Lumen Dilation and Pseudo-obstruction Definition Clinical Picture Diagnosis Treatment Surveillance Acute Segmental Hemorrhagic Colitis Definition Clinical Picture Diagnosis Treatment Surveillance IX

5 Pneumatosis Cystoides Intestinalis Definition Clinical Picture Diagnosis Treatment Surveillance Kaposi Sarcoma Definition Diagnosis Treatment Surveillance HIV-Related Lymphoma Ileitis Colon Varices and Portal Colopathy Rectal Varices Iatrogenic Lesions Lipomas and Carcinoid Tumors Endometriosis Amyloidosis Collagenous Colitis and Microscopic Colitis Colon Involvement in Non-Hodgkin Lymphoma IV Endoscopic Intervention 18 Polypectomy and Mucosectomy Indications and Contraindications Preparing for Polypectomy and Mucosectomy Instrumentation Polypectomy Small Polyps Stalked Polyps Sessile Polyps Malignant Polyps Mucosectomy Recovering Resected Polyps Complications following Polypectomy or Mucosectomy Follow-up Surveillance after Polypectomy Interventional Tumor Therapy Pathology of Malignant Colon Tumors Indications for Endoscopic Tumor Therapy Hemostasis Methods and Relief of Obstruction Palliative Tumor Therapy in Inoperable Patients Laser APC (Argon Plasma Coagulation) Metallic Mesh Stents Hemostasis Thermocoagulation Monopolar and Biopolar Electrocoagulation Argon Plasma Coagulation (APC) Laser Heater Probe Injection Therapy Mechanical Methods Hemoclips Band Ligation Endoloop Management of Benign Strictures R. Scheubel Definition and Causes Diagnosis and Therapy Fistulas and Postoperative Leakages W. Schmidbaur Fistulas Anastomotic Leakage Diagnosis Endoscopic Interventions Fistula Closure and Management of Dehiscence Using Fibrin Sealant Fistula Closure and Management of Dehiscence Using Clips Differential Therapy Using Fibrin Sealant/Clips Stents Endoscopic Suturing EndoVAC X

6 23 Removal of Foreign Bodies W. Schmidbaur Principles of Endoscopic Foreign Body Removal Removal of Foreign Bodies in the Colon Ingested Foreign Bodies Iatrogenic Foreign Bodies Foreign Bodies Introduced Per Rectum Removal of Foreign Bodies in the Rectum Decompression Tube Placement Definitions Acute Pseudo-obstruction of the Colon Definition and Pathogenesis Clinical Picture and Course Therapy Mechanical Obstruction Volvulus Malignant and Benign Stenoses Index XI