First Year Fellows Endoscopy Course (July 29 - 30)

5-Tools of the Trade

Pdf Summary

This document provides an overview of the different tools used in endoscopy procedures. It starts by explaining the anatomy of an endoscope, including the insertion tube, bending section, and various channels for air, water, and instruments. The document then discusses the different types of endoscopes, their sizes, and channel diameters. <br /><br />A checklist for before starting an endoscopy is provided, which includes checking the air and water systems, suction, image display, and irrigation. The document then goes on to discuss the most frequently used devices in endoscopy, such as biopsy forceps, polypectomy snares, retrieval baskets/nets, injection needles, and clips. <br /><br />For each device, it provides detailed information on their sizes, capabilities, and potential procedural challenges. Techniques for obtaining adequate biopsies are also discussed, including using large cup/jumbo forceps, energizing the bite, and repeat biopsies. The value of a central spike on biopsy forceps is also mentioned. <br /><br />The document then moves on to discuss snares, different types and sizes, and their use in snare polypectomies. It also covers retrieval nets used for containing and removing objects, injection needles used for submucosal injections, and clips used for various purposes such as hemostasis and tissue apposition. Different types of clips, their characteristics, and deployment techniques are explained. <br /><br />The document concludes by mentioning the various brands and types of endoclips available in the market. Overall, this document provides a comprehensive overview of the tools used in endoscopy and their various applications.

Keywords

endoscopy tools

endoscope anatomy

endoscope types

channel diameters

endoscopy checklist

biopsy forceps

polypectomy snares

injection needles

clips

endoclips