First Year Fellows Endoscopy Course (July 30-31) | 2023-5-Tools of the Trade

5-Tools of the Trade_Table Slide for Illiustration

Pdf Summary

This document provides an overview of the tools used in endoscopy procedures. It describes the anatomy of scopes, including the insertion tube, bending section, and various channels for air, water, and suction. It also explains that CO2 can be used instead of room air for better patient satisfaction and fewer complications.<br /><br />The document lists the most frequently used devices in endoscopy, such as biopsy forceps, polypectomy snares, retrieval nets, injection needles, and clips. It emphasizes the importance of verifying compatibility between the device and endoscope, and knowing the length and diameter of both.<br /><br />When it comes to biopsy forceps, the document explains the different sizes available and the importance of using large forceps for better results. It also mentions the benefit of a central spike for deeper sampling.<br /><br />For snare polypectomy, it discusses different snare sizes and shapes, and mentions the preferred method for small polyps. It also explains the use of saline lift for snare guidance.<br /><br />The document describes retrieval nets as soft, flexible meshes attached to snare nooses, used for removing polyps, food, and foreign bodies. It highlights the differences in mesh material and pattern, and the size and rotatability of the net.<br /><br />Injection needles are explained as devices used for submucosal injections, with different gauges and lengths available. It lists various indications for their use.<br /><br />Endoclips are mechanical compression devices used for various purposes, such as controlling bleeding, closing defects, and anchoring feeding tubes. The document provides information about different types of endoclips and their features.<br /><br />Overall, this document serves as a comprehensive guide to the tools used in endoscopy procedures, explaining their functions, sizes, and techniques for usage.

Keywords

endoscopy procedures

anatomy of scopes

CO2 usage

biopsy forceps

polypectomy snares

retrieval nets

injection needles

clips

compatibility verification

endoclips