First Year Fellows Endoscopy Course (August 4-5) | 2023-8-Therapeutic

8-Therapeutic_Colonoscopy

Pdf Summary

The document discusses therapeutic colonoscopy, specifically focusing on lower gastrointestinal bleeding, polypectomy, colonoscopic decompression, and complications. Lower gastrointestinal bleeding is defined as bleeding that occurs below the IC valve, with symptoms lasting less than three days. Etiologies of lower GI bleeding include diverticular bleeding, ischemic colitis, angioectasia, hemorrhoids, colorectal neoplasia, and more. <br /><br />In terms of management, urgent colonoscopy is recommended within 24 hours for severe hematochezia. Non-emergent colonoscopy is recommended for most patients with inpatient LGIB. Colonoscopy is favored for acute LGIB due to its advantages, including precise localization, possible therapy, high diagnostic yield, ability to perform biopsies, and low complication rate.<br /><br />For polypectomy, the document outlines factors to consider before the procedure and various techniques such as cold biopsy, snare polypectomy, and more. It also offers tips for managing large polyps.<br /><br />Other topics covered in the document include post-polypectomy complications, colonic decompression for conditions like volvulus and pseudo-obstruction, and the correct use of tattooing to mark lesions.<br /><br />Overall, the document provides an overview of important topics related to therapeutic colonoscopy, including the management of lower GI bleeding and polypectomy techniques.

Keywords

therapeutic colonoscopy

lower gastrointestinal bleeding

polypectomy

colonoscopic decompression

complications

diverticular bleeding

ischemic colitis

angioectasia

hemorrhoids

colorectal neoplasia