First Year Fellows Endoscopy Course (August 4-5) | 2023-5-Tools of the Trade

5-Tools of the Trade_Table Slide for Illiustration

Pdf Summary

This document provides an overview of the tools used in endoscopy procedures. It explains the different parts of an endoscope, such as the insertion tube, bending section, and the various channels for air, water, and suction. The document also discusses the importance of knowing the length and diameter of the scope and the devices used with it. <br /><br />The most frequently used devices in endoscopy include biopsy forceps, polypectomy snares, retrieval nets, injection needles, and clips. The document provides information on the different types and sizes of these devices and their indications for use. <br /><br />For example, biopsy forceps are important for determining lesion size, and their effectiveness increases with the number of biopsies taken. Large cup or jumbo forceps provide larger samples and facilitate better tissue analysis. The document also explains the value of a central spike on forceps for deeper sampling. <br /><br />Polypectomy snares come in different sizes and shapes and should be chosen based on the location, size, and morphology of the lesion. Different techniques, such as hot or cold snaring and saline lift, can be used for polypectomies. <br /><br />Retrieval nets are used to contain and remove objects like polyps, food, or foreign bodies. They come in different sizes and with various mesh patterns. <br /><br />Injection needles are used for submucosal injections and can be used for various indications, such as hemostasis, lift techniques, sclerotherapy, or injecting pharmacologically active agents. <br /><br />Endoclips are mechanical compression devices used for various purposes, such as closing defects, anchoring feeding tubes, or stopping non-variceal bleeding. The document compares different types of endoclips in terms of their opening span and length. <br /><br />Overall, this document provides essential information on the tools used in endoscopy and their characteristics, helping practitioners choose and use the right instruments for different procedures.

Keywords

endoscopy procedures

endoscope

insertion tube

biopsy forceps

polypectomy snares

retrieval nets

injection needles

clips

lesion size

endoclips