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Flashcards in Endoscopy Deck (14):
1

What does an ERCP soope look at?

It goes through the stomach, through the ampulla and looks at the biliary tree.

2

What is endoscopy used for?

Diagnosis
Therapeutics (both emergency and elective)
Screening
Surveillance

3

What conditions can be diagnosed visually using endoscopy?

Oesophagitis
Gastritis
Ulceration
Coeliac disease
Crohn's disease
Ulcerative colitis
Sclerosing cholangitis

4

Where can stents be inserted?

Oesophagus
Biliary tree
Colon

5

What types of stents are there?

Plastic (removable)
Metal self expanding (permanent)

6

What are the complications of stenting?

Foreign body sensation
Septicaemia
Reflux
Fever
Fistula formation
Bleeding
Perforation
Pain
Migration
Tumour in/overgrowth

7

How are strictures treated?

Dilatation
Stenting is usually reserved for malignancy

8

Name two methods of dilatation

Balloon dilatation
Bougienage dilatation

9

How can tumours be removed by endoscopy?

Polypectomy:
Polyp is raised on a bed of adrenaline/saline
It is snared, and removed by hot biopsy
This is usually done for colonic polyps.
Endoscopic mucosal resection:
Lesion is raised on a bed of adrenaline/saline
It is looped and converted to a polyp
It can then be snared

10

How can endoscopy be used in nutrition?

Percutaneous endoscopic gastrostomy (PEG) insertion
Percutaneous endoscopic jejunostomy insertion
Naso-jejunal tube insertion

11

Describe PEG insertion

Gastroscopy
Identify insertion site
Transabdominal passage of wire
Pull the wire out of the mouth
Tie the PEG tube to the wire, and pull into position
Fix in place and set up connectors

12

How is a naso-jejunal tube inserted?

The tube is passed under direct vision
The endoscope is then pulled out
The nasal overtube is fed in
The NJ tube is drawn into the overtube
It is then withdrawn through the nose and fixed in place

13

What diseases is endoscopic surveillance used in?

Ulcerative colitis
Colonic polyps and colorectal cancer
Barret's oesophagus

14

What are complications of endoscopy?

Respiratory arrest
Aspiration
Cardiac arrest
Bleeding
Perforation
Infection

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