First Year Fellows Endoscopy Course (July 26-27) | 2024-9-Therapeutic_Colonoscopy

9-Therapeutic_Colonoscopy_2024

Pdf Summary

The document provides a comprehensive overview of therapeutic colonoscopy for lower gastrointestinal bleeding. It covers various aspects including definitions, etiologies of lower GI bleeding, management strategies, and therapeutic options during colonoscopy. The importance of colonoscopy in both diagnosis and treatment is highlighted, emphasizing its advantages such as precise localization and therapeutic interventions. The text discusses scenarios of patient presentations and outlines the best next steps in management, considering factors like patient history, vital signs, and lab results.<br /><br />It also delves into specific procedures like polypectomy, detailing factors to consider before the procedure, different techniques, and post-polypectomy complications. The document also addresses non-endoscopic management options for acute lower GI bleeding, highlighting procedures like tagged RBC scan, multidetector helical CT angiography, angiography, and surgery, if necessary. The importance of proper preparation, techniques, and post-procedural care for successful outcomes is stressed throughout the text.<br /><br />Moreover, the document touches on issues like diverticular bleeding, vascular lesions, and colonic decompression techniques in cases of obstruction. It underlines the significance of understanding different treatment modalities, avoiding complications, and being prepared to manage any potential complications effectively. Overall, the document serves as a detailed guide for fellows undergoing training in therapeutic colonoscopy for lower GI bleeding, emphasizing the need for a thorough understanding of the procedures and their implications to ensure optimal patient outcomes.

Keywords

therapeutic colonoscopy

lower gastrointestinal bleeding

management strategies

diagnosis and treatment

polypectomy procedures

non-endoscopic management options

acute lower GI bleeding

colonic decompression techniques

complications

training in therapeutic colonoscopy