First Year Fellows Endoscopy Course ( August 6-7) | 2023-8-Therapeutic

8-Therapeutic_Colonoscopy

Pdf Summary

This document discusses various topics related to therapeutic colonoscopy. It begins by defining acute lower gastrointestinal (GI) bleeding and identifying its causes. It then presents a case study about a patient with painless lower GI bleeding and asks about the best next step in management. The answer is provided as well. <br /><br />The document goes on to discuss the management of severe hematochezia and the timing of colonoscopy in acute lower GI bleeding. It emphasizes the use of colonoscopy as the test of choice for acute lower GI bleeding due to its advantages in precise localization, possible therapy, and diagnostic yield. The potential complications and disadvantages of colonoscopy are also mentioned. <br /><br />The document also discusses the different therapeutic options during colonoscopy, including injection therapy, thermal therapy, and mechanical therapy. It provides information on the non-endoscopic management of acute lower GI bleeding, such as tagged red blood cell scan, multidetector helical CT angiography, angiography, and surgery. <br /><br />Specific conditions related to lower GI bleeding, such as diverticular bleeding and vascular lesions, are discussed as well. The document also covers the technique of polypectomy and the choice of polypectomy techniques. It provides tips and considerations for the removal of large polyps and the use of submucosal injection. The post-polypectomy complications, including bleeding and post-polypectomy coagulation syndrome, are addressed.<br /><br />Finally, the document mentions colonic decompression techniques and provides indications and considerations for their use. It concludes by emphasizing the importance of understanding the different management options for lower GI bleeding, knowing how to prevent complications, and managing them effectively when they occur.

Keywords

therapeutic colonoscopy

acute lower gastrointestinal bleeding

management

advantages of colonoscopy

complications of colonoscopy

therapeutic options during colonoscopy

non-endoscopic management

polypectomy technique

post-polypectomy complications

colonic decompression techniques