First Year Fellows Endoscopy Course ( August 6-7) | 2023-5-Tools of the Trade

5-Tools of the Trade_Table Slide for Illiustration

Pdf Summary

Tools of the Trade is a document that provides an overview of various tools used in endoscopy procedures. The document describes the anatomy of a scope, including the insertion tube, bending section, and various channels for air, water, and suction. It also discusses the use of CO2 instead of room air for colon clearing, which may result in improved 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 also provides a checklist before starting an endoscopy, including checking the air and water functionality, suction working, image on the screen, and irrigation connection.<br /><br />The most frequently used devices in endoscopy are discussed, including biopsy forceps, polypectomy snares, retrieval nets, injection needles, and clips. The document provides detailed information on the different types of biopsy forceps and their effectiveness in obtaining diagnostic samples.<br /><br />Tips for obtaining adequate biopsies include using the largest size forceps that fit in the biopsy channel, positioning the forceps en face to the mucosa, partially collapsing the lumen, and energizing the bite. The document also discusses the benefits of using larger cup/jumbo forceps and the value of a central spike on forceps.<br /><br />Information on snare polypectomy and the factors to consider when choosing a snare, such as the location, size, and morphology of the lesion, is provided. The use of retrieval nets for removing polyps, food, and foreign bodies is also discussed.<br /><br />The document mentions the use of injection needles for submucosal injections and provides common indications for their use. It also discusses the different characteristics of injection needles and provides tips on their technique.<br /><br />Lastly, the document describes endoclips and their uses, such as closing mucosal defects and anchoring feeding tubes. It discusses the similarities and differences between different brands of endoclips and provides tips on their deployment.<br /><br />Overall, Tools of the Trade provides a comprehensive overview of the various tools used in endoscopy procedures and offers valuable information on their use and effectiveness.

Keywords

endoscopy procedures

scope anatomy

CO2 vs room air

patient satisfaction

scope specifications

endoscopy checklist

biopsy forceps

polypectomy snares

retrieval nets

injection needles