First Year Fellows Endoscopy Course (August 5 - 6)

5-Tools of the Trade

Pdf Summary

This document provides an overview of the different tools used in endoscopy procedures. The document describes the anatomy of the endoscope, including the insertion tube, bending section, and various channels for air, water, suction, and instruments. It also discusses the use of CO2 instead of room air for better patient satisfaction and fewer complications.<br /><br />The document emphasizes the importance of knowing the length, insertion tube diameter, and channel diameter of each scope used in endoscopy. It provides a checklist before starting an endoscopy, which includes making sure that air and water are working, suction is working, and the image is visible on the screen.<br /><br />The most frequently used devices in endoscopy procedures are listed, including biopsy forceps, polypectomy snares, retrieval baskets/nets, injection needles, and clips. The document explains how to use these devices properly, including verifying compatibility with the endoscope and knowing the length and diameter of the device.<br /><br />For biopsy forceps, the document highlights the importance of selecting the appropriate size and using a forceps with or without a central spike. It also explains that the effectiveness of diagnostic samples increases with the number of biopsies taken.<br /><br />The document provides information on snares, including their size, shape, and suitability based on the location, size, and morphology of the lesion. It discusses different methods of snare polypectomy, such as hot and cold techniques, and the use of saline lift.<br /><br />Retrieval nets, injection needles, and clips are also discussed in the document. It explains their purpose, the differences between different types, and their specific uses in various procedures.<br /><br />The document concludes by mentioning different brands of endoclips and their specific characteristics, such as jaw opening, length, and compatibility with MRI imaging. It also provides instructions for deploying endoclips, including positioning, engaging the wings, and using suction.

Keywords

endoscopy procedures

endoscope anatomy

CO2 usage

scope specifications

biopsy forceps

polypectomy snares

retrieval baskets

injection needles

clips

endoclips brands