ASGE Annual GI Advanced Practice Provider Course - Day Two (On-Demand) | July 2021-16_Colonoscopy the Basics

16_Colonoscopy the Basics - Vicari

Pdf Summary

Colonoscopy is a procedure used to examine the colon and rectum for any abnormalities. It is performed for various reasons, such as screening for colon cancer or polyps, investigating symptoms like gastrointestinal bleeding or diarrhea, and treating certain conditions like inflammatory bowel disease. <br /><br />Before the procedure, timely scheduling and appropriate patient selection are important. This includes considering the reason for the colonoscopy and assessing any contraindications, such as certain medications or acute abnormalities. Patient preparation, such as following a clear liquid or low residue diet and bowel prep, is also necessary.<br /><br />During the procedure, different types of colonoscopes may be used based on the patient's age and previous experiences. Various tools and techniques, such as tissue sampling, polypectomy, and endoscopic hemostasis, are employed to perform diagnostic and therapeutic maneuvers. Cardiopulmonary complications related to sedation are the most common complications, so appropriate anesthesia risk assessment and management are crucial.<br /><br />There are potential complications associated with colonoscopy, including immediate post-polypectomy bleeding and perforation. These complications are managed through interventions like epinephrine injection, hemostatic clips, and thermal therapy. Disseminating findings to patients and implementing surveillance programs for polyps are important in post-procedure care.<br /><br />Quality indicators for colonoscopy include high adenoma detection rate, cecal intubation rate over 95%, low incidence of post-polypectomy bleeding and perforation, and appropriate management of complications such as post-polypectomy syndrome and infections.<br /><br />Overall, understanding the different phases of colonoscopies, considering patient selection and sedation, and managing complications are essential in performing successful procedures and achieving desired outcomes.

Keywords

colonoscopy

procedure

examine

colon

rectum

abnormalities

screening

cancer

polyps

gastrointestinal bleeding