Podcast
Questions and Answers
What gas is typically introduced into the abdominal cavity during laparoscopic procedures?
What gas is typically introduced into the abdominal cavity during laparoscopic procedures?
- Nitrous Oxide
- Helium
- Oxygen
- Carbon Dioxide (correct)
Which of the following conditions is NOT typically treated with endoscopy?
Which of the following conditions is NOT typically treated with endoscopy?
- Stomach ulcer
- Sinus infection (correct)
- Chronic constipation
- Gallstones
What is one of the therapeutic applications of small bowel enteroscopy?
What is one of the therapeutic applications of small bowel enteroscopy?
- Tumor removal
- Liver biopsy
- Insertion of SEMS (correct)
- Appendectomy
Which of the following benefits is associated with using the Da Vinci Surgical System?
Which of the following benefits is associated with using the Da Vinci Surgical System?
Which type of endoscopy is specifically indicated for gastroesophageal reflux disease (GERD)?
Which type of endoscopy is specifically indicated for gastroesophageal reflux disease (GERD)?
What potential condition can be ruled out by performing a gastroscopy?
What potential condition can be ruled out by performing a gastroscopy?
What is a common limitation of endoscopy?
What is a common limitation of endoscopy?
Which symptom is NOT an indication for small bowel enteroscopy?
Which symptom is NOT an indication for small bowel enteroscopy?
What is one of the main purposes of performing a barium enema?
What is one of the main purposes of performing a barium enema?
Which of the following is a complication that may arise after a proctoscopy?
Which of the following is a complication that may arise after a proctoscopy?
What is a common indication for performing a cystoscopy?
What is a common indication for performing a cystoscopy?
Which condition is a contraindication for cystoscopy?
Which condition is a contraindication for cystoscopy?
What type of cystoscopy is primarily used for easier manipulation during the procedure?
What type of cystoscopy is primarily used for easier manipulation during the procedure?
What is one of the main uses of gastroscopy?
What is one of the main uses of gastroscopy?
What does gastroscopy rely on for diagnosis?
What does gastroscopy rely on for diagnosis?
What is a significant risk associated with colonoscopy?
What is a significant risk associated with colonoscopy?
What condition is NOT a contraindication for colonoscopy?
What condition is NOT a contraindication for colonoscopy?
In what part of the body does a colonoscopy examine?
In what part of the body does a colonoscopy examine?
Which of the following describes the effectiveness of gastroscopy?
Which of the following describes the effectiveness of gastroscopy?
Which complication is more likely to arise from therapeutic procedures during colonoscopy?
Which complication is more likely to arise from therapeutic procedures during colonoscopy?
What should be done when there is uncertainty during colonoscopy?
What should be done when there is uncertainty during colonoscopy?
Which of the following segments is NOT typically considered difficult during colonoscopy?
Which of the following segments is NOT typically considered difficult during colonoscopy?
How should patients be positioned prior to intubation for a colonoscopy?
How should patients be positioned prior to intubation for a colonoscopy?
What is the purpose of performing a digital rectal examination before starting the procedure?
What is the purpose of performing a digital rectal examination before starting the procedure?
During colonoscopy, what signifies a red-out sign?
During colonoscopy, what signifies a red-out sign?
What is the incorrect method of managing air during colonoscopy?
What is the incorrect method of managing air during colonoscopy?
Which condition is NOT considered a possible pathology found during colonoscopy?
Which condition is NOT considered a possible pathology found during colonoscopy?
What technique is used to open the entrance to the terminal ileum during the procedure?
What technique is used to open the entrance to the terminal ileum during the procedure?
What is the primary purpose of endoscopy procedures in the small intestine?
What is the primary purpose of endoscopy procedures in the small intestine?
Which preparation is recommended before undergoing bronchoscopy?
Which preparation is recommended before undergoing bronchoscopy?
What complication is associated with bronchoscopy?
What complication is associated with bronchoscopy?
Which therapeutic indication is NOT associated with gallstones management?
Which therapeutic indication is NOT associated with gallstones management?
What should patients avoid for 24 hours prior to bronchoscopy?
What should patients avoid for 24 hours prior to bronchoscopy?
What is a contraindication for performing bronchoscopy?
What is a contraindication for performing bronchoscopy?
What type of endoscopy allows examination of the small intestine beyond the duodenum?
What type of endoscopy allows examination of the small intestine beyond the duodenum?
Which procedure can be performed to relieve endobronchial bleeding?
Which procedure can be performed to relieve endobronchial bleeding?
What is one of the reasons to suspect that a person's bile may be blocked?
What is one of the reasons to suspect that a person's bile may be blocked?
What is another name for the pancreatic duct?
What is another name for the pancreatic duct?
Which of the following is a significant risk associated with ERCP?
Which of the following is a significant risk associated with ERCP?
What is the purpose of proctoscopy?
What is the purpose of proctoscopy?
Before the ERCP procedure, which items should be removed?
Before the ERCP procedure, which items should be removed?
What generally happens to patients after the ERCP procedure?
What generally happens to patients after the ERCP procedure?
Which of the following conditions is a contraindication for ERCP?
Which of the following conditions is a contraindication for ERCP?
What role does local anesthetic play in the ERCP procedure?
What role does local anesthetic play in the ERCP procedure?
Flashcards
Gastroscopy (Upper GI Endoscopy)
Gastroscopy (Upper GI Endoscopy)
A procedure that uses a long, flexible tube with a camera attached called an endoscope to view the inside of the digestive system, from the esophagus to the duodenum.
Small Bowel Enteroscopy
Small Bowel Enteroscopy
A procedure that uses an endoscope to examine the small intestine, specifically the duodenum, jejunum, and ileum.
Colonoscopy
Colonoscopy
A procedure that uses an endoscope to examine the large intestine, specifically the colon and rectum.
Insufflation
Insufflation
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Reflux Esophagitis
Reflux Esophagitis
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Da Vinci Surgical System
Da Vinci Surgical System
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Percutaneous Endoscopic Gastrostomy (PEG)
Percutaneous Endoscopic Gastrostomy (PEG)
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Dilation of Strictures
Dilation of Strictures
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What is gastroscopy?
What is gastroscopy?
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What does gastroscopy help diagnose?
What does gastroscopy help diagnose?
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What is a colonoscopy?
What is a colonoscopy?
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What is the purpose of a colonoscopy?
What is the purpose of a colonoscopy?
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What factors can make colonoscopy difficult?
What factors can make colonoscopy difficult?
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How long is a colonoscopy and what skills are required?
How long is a colonoscopy and what skills are required?
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In what cases is colonoscopy contraindicated?
In what cases is colonoscopy contraindicated?
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What are the potential risks associated with colonoscopy?
What are the potential risks associated with colonoscopy?
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Clear View Advance Rule
Clear View Advance Rule
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Rectosigmoid Junction
Rectosigmoid Junction
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Villi
Villi
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Terminal Ileum (TI)
Terminal Ileum (TI)
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Diverticulitis
Diverticulitis
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Inflammatory Bowel Disease (IBD)
Inflammatory Bowel Disease (IBD)
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Enteroscopy
Enteroscopy
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What is cystoscopy?
What is cystoscopy?
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What is Ureter Renoscopy (URS) or Uretroscopy?
What is Ureter Renoscopy (URS) or Uretroscopy?
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What are the contraindications for cystoscopy?
What are the contraindications for cystoscopy?
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What is flexible cystoscopy?
What is flexible cystoscopy?
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What is rigid cystoscopy?
What is rigid cystoscopy?
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Small Bowel Endoscopy
Small Bowel Endoscopy
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Double-Balloon Enteroscopy
Double-Balloon Enteroscopy
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Capsule Endoscopy
Capsule Endoscopy
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Bronchoscopy: Therapeutic Use
Bronchoscopy: Therapeutic Use
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Bronchoscopy
Bronchoscopy
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Pneumothorax
Pneumothorax
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Endoscopic Retrograde Cholangiopancreatography (ERCP)
Endoscopic Retrograde Cholangiopancreatography (ERCP)
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What is ERCP?
What is ERCP?
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Why perform ERCP?
Why perform ERCP?
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How is ERCP performed?
How is ERCP performed?
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What are the potential risks of ERCP?
What are the potential risks of ERCP?
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What happens after ERCP?
What happens after ERCP?
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When is ERCP not recommended?
When is ERCP not recommended?
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What is Wirsung?
What is Wirsung?
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What are some potential complications of ERCP?
What are some potential complications of ERCP?
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Study Notes
Endoscopy Exam Notes
- Endoscopy is a procedure used to view and operate on internal organs and vessels of the body.
- Endoscopy is not only used for the digestive system, but has broader applications.
- Endoscopy Investigation can be unusual, and it sometimes used to investigate symptoms.
- Symptoms investigated by Endoscopy can include: vomiting blood, difficulty in swallowing, persistent diarrhoea, persistent abdominal pain, unexplained weight loss, and persistent vomiting.
- Types of Endoscopy: Laparoscopy (abdomen/pelvis), hysteroscopy (uterus), cystoscopy (bladder), gastroscopy (upper GI), colonoscopy (colon), sigmoidoscopy, endoscopic retrograde cholangiopancreatography (ERCP), bronchoscopy (lungs), laryngoscopy, arthroscopy (joints), nasopharyngoscopy, otoscopy (ear).
- Advantages of Endoscopy: less invasive than open surgery, allows for descriptive and photographic documentation, low morbidity and mortality.
- Disadvantages of Endoscopy: only views the surface of the organ, only a small area is visible at a time.
- Diagnostic and Treatment Uses: Bleeding source, polyps and abnormal tissues.
Capsule Endoscopy
- Capsule Endoscopy: A capsule with a camera is swallowed to view the digestive tract.
- Images are transmitted as it passes through.
- How it Works: Small Video Capsule is used to examine digestive tract & sensors attached to belt around the waist record data.
- Advantages: Less invasive than open surgery, allows for descriptive and photographic documentation.
- Disadvantages: Only views the surface of the organ, only a very small area is visible at a time.
Endoscopy A
- Latest techniques in Endoscopy: Capsule endoscopy, endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound, narrow band imaging.
- Endoscopic Retrograde Cholangiopancreatography (ERCP): Endoscopy and x-rays combined to treat pancreatic and bile diseases.
- Endoscopic Ultrasound: High-frequency sound waves to identify digestive and lung disease.
- Narrow Band Imaging better visualization of internal organs.
- Chromolendoscopy: Dyes are installed before endoscopy to identify lesions.
Endoscopy B
- Da Vinci Surgical System: Offers improved dexterity, better control, less risky, and reduced hospital stay for GERD.
- Types of endoscopy: upper GI endoscopy, enteroscopy, colonoscopy.
- Endoscopy use: Diagnostic and treatment of inflammatory bowel diseases (Crohn's disease, ulcerative colitis), stomach ulcers, chronic constipation, pancreatitis, gallstones, tumors, and infections.
Endoscopy C
- Gastroscopy: Provides a reliable way to diagnose ulcers, infections, and cancers, tailored to each patient.
- Gastroscopy Reliability: Reliable for identifying upper digestive tract abnormalities, but not foolproof for early-stage cancers.
- Colonscopy: Examines large intestine, looks for abnormalities or pathologies within the mucosal lining.
- Indications of Colonoscopy: Constipation, abdominal pain, post-polypectomy surveillance, prevention/aftercare for colorectal carcinoma, bleeding per rectum, unexplained anemia, weight loss, pathological thickening of colon wall, and primary tumor search with malignancy.
Endoscopy D
- Small Bowel Enteroscopy: Used for bleeding in obscure origins.
- Therapeutic Applications: Foreign body removal, mucosal resection, insertion of self-expandable metal stents, dilation of strictures, ERCP after bariatric surgery.
- Gastroscopy: Examines upper gastrointestinal tract and first part of the small intestine (duodenum).
- Usefulness of Gastroscopy: Valuable diagnostic tool allowing doctors to closely examine the upper digestive tract.
- Techniques: Tissue samples, photography, symptom investigation, ulcer detection, infection, and biopsy for precise diagnoses, and early cancer detection.
Endoscopy E
- Therapeutic Bronchoscopy: Insertion of an endotracheal tube for general anesthesia, extension of neck.
- Complications of Bronchoscopy: Pneumothorax, hemorrhage, hypoxemia, bronchospasm in asthmatics, complications of sedation/anaesthesia.
- Bronchoscopy Treatments: Stent therapy, laser therapy, argon beam coagulation, and brachytherapy, rigid bronchoscopy.
- Contraindications of Bronchoscopy: Uncorrectable hypoxemia, hypercapnia, and unstable myocardium.
Endoscopy F
- ERCP (Endoscopic Retrograde Cholangiopancreatography): Examines and treats conditions affecting bile ducts, gallbladder, pancreas, and liver.
- ERCP Uses: Diagnosing abnormalities and treating problems in the bile ducts, gallbladder, pancreas, and liver.
- Therapeutic Indications: Sphincterotomy, stone removal, stent placement, balloon dilation, and tissue sampling.
Endoscopy G
- Cystoscopy: Examine inside of the bladder and urethra using a thin, tube-like instrument.
- Uses of Cystoscopy: Diagnosis of lesions, follow-up, operative procedures, and treatment of urinary tract infections.
- Contraindications: Active urinary tract infection, severe urethral stricture, acute prostatitis, severe coagulopathy, recent bladder or ureter disorders, severe cardio respiratory disorders, pregnancy, and a relevant pelvic radiation history.
- Types of Cystoscopy: Rigid, flexible.
Endoscopy H
- Proctoscopy: Examines rectum and anal canal using a short, rigid instrument.
- Proctoscopy Purpose: Detects diseases of the rectum or anus, evaluates abnormal results of barium enemas or bowel tests, monitors rectal bleeding causes and growth of polyps.
- Proctoscopy Usefulness: Check for rectal cancer, identify abnormalities in the lining of the colon or intestine, identify polyps and other benign growths, and evaluate blood loss, difficulty urinating.
- Proctoscopy Complications: Heavy blood loss, difficulties urinating, and heavy pain.
Endoscopy I
- Cystoscopy Indications: Frequent urinary tract infections, blood in the urine (hematuria), and urgent need to urinate with unusual cells. Painful urination, chronic pelvic pain, urinary blockage (prostate enlargement), and abnormal narrowing of the urinary tract.
- Cystoscopy Indications: Stones in the urinary bladder, unusual growths (polyps, tumors) in the bladder.
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