First Year Fellows Endoscopy Course (Aug 4-5) | 2024-3-Diagnostic_Colonscopy

3-Diagnostic_Colonscopy_2024

Pdf Summary

The document outlines important aspects of diagnostic colonoscopy, starting with indications such as screening for colorectal cancer, surveillance for individuals with a history of pathology, and diagnostic purposes for unexplained gastrointestinal symptoms like bleeding and anemia. Contraindications are also highlighted, including conditions like perforated intestine and severe colitis that may prevent the procedure. The technique section emphasizes starting with a perianal exam, proper positioning, and basic rules such as avoiding advancing the scope without a clear view and minimizing patient discomfort. Anatomical landmarks in the colon are discussed along with tips for successful intubation and reducing loop formations during the procedure. Techniques for applying abdominal pressure at specific locations to prevent looping are described. The importance of endoscope withdrawal, cleaning the colon, and thorough examination are also emphasized. The summary stresses the need for a systematic approach, awareness of body position, reducing loops, meticulous scope withdrawal, and taking time to navigate folds for a successful colonoscopy procedure.

Keywords

colonoscopy

diagnostic

indications

contraindications

technique

perianal exam

anatomical landmarks

intubation

abdominal pressure

endoscope withdrawal