First Year Fellows Endoscopy Course (July 28-29) | 2024-3-Diagnostic_Colonscopy

3-Diagnostic_Colonscopy_2024

Pdf Summary

The document provides an overview of diagnostic colonoscopy for first-year fellows, covering indications, contraindications, technique, and troubleshooting. Indications for colonoscopy include screening for average and high-risk individuals, surveillance for history of pathology, unexplained GI symptoms/signs, GI bleeding, iron deficiency anemia, IBD, and abnormal imaging of the colon. Contraindications include perforated intestine, diverticulitis, severe ulcerations, ischemic necrosis, fulminant colitis, cardiopulmonary decompensation, and inability to tolerate bowel prep. The document details the colonoscopy technique, emphasizing the importance of a careful perianal exam, digital rectal examination, and anal intubation. It also outlines basic rules of colonoscopy, such as not advancing without clear visibility, using minimal air, lubricating the colonoscope, and considering patient discomfort. Anatomic landmarks and maneuvers for successful intubation are discussed, along with loop formation, reduction, and techniques for passing difficult areas like the hepatic flexure. The importance of scope withdrawal, cleanliness, retroflexion, and thorough examination are highlighted in the summary, emphasizing the need for awareness, meticulousness, and methodical approach throughout the procedure.

Keywords

diagnostic colonoscopy

first-year fellows

indications

contraindications

colonoscopy technique

troubleshooting

perianal exam

anatomic landmarks

loop formation

scope withdrawal