Upper GI Endoscopy - JEA PDF
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Uploaded by TriumphantDryad3758
University of Malta
Mr Jo Etienne Abela
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Summary
This document presents an overview of upper gastrointestinal endoscopy, covering various aspects such as aims, patient preparation, intubation techniques, evaluation of the esophagus, stomach, and abnormalities, and treatment approaches. It also details neoplastic diagnosis and therapy.
Full Transcript
Upper gastrointestinal endoscopy Mr Jo Etienne Abela MD MRCS FRCS FEBS MPhil Aim Put minds at rest Surveillance Diagnose disease early Treat disease Basics Fasted patient with note made of comorbidities Awake patient with good throat anaesthesia Awake patient wit...
Upper gastrointestinal endoscopy Mr Jo Etienne Abela MD MRCS FRCS FEBS MPhil Aim Put minds at rest Surveillance Diagnose disease early Treat disease Basics Fasted patient with note made of comorbidities Awake patient with good throat anaesthesia Awake patient with good nasal anaesthesia (trans-nasal) Sedated patient (midazolam / propofol) Oxygen Pulse oximetry and blood pressure Intubation Under vision Examine pharynx and upper airways Past epiglottis Gently overcome cricopharyngeus Avoid valleculae Oesophagus Pearly white mucosa with vascular markings Glycogen granules Inlet patch/es Indentations - left bronchus and left atrium Z-line or squamo-columnar junction (SCJ) Oesophagic-gastric junction(OJG) or TGF Abnormalities Webs Diverticula Strictures inc. achalasia Inflammation/Barrett’s/Ulcers Tumours Varices Food bolus/Foreign bodies Stomach Hiatal hernia Varices Gastritis Ulcer Tumours Vascular lesions eg. Dieulafoy Neoplastic diagnosis Scope features eg. AF, NBI, FICE, iScan Dyes eg. methylene blue, Lugol’s, acetic acid Submucosal injection Magnification Confocal endoscopy Optical biopsy EUS Neoplastic therapy Dilatation EMR ESD Stent Ablation
