Gastrointestinal endoscopy Flashcards
(47 cards)
risk of bleeding
clean based ulcer
3-5%
risk of bleeding
flat pigmented spots covering the ulcer base
10%
risk of bleeding
adherent clots covering the ulcer base
20%
endoscopic therapy needed
risk of bleeding
platelet plug protruding form vessel wall in the base of an ulcer (sentinel or visible vessel)
40%
risk of bleeding
active spurting from an ulcer
> 90% bleeding without therapy
indicated for first bleed from large oesophageal varices
EVL (endoscopic variceal ligation)
Rx bleeidng from large gastric funds varices
endoscopic cyanoacrylate “glue” injection
MC site dieulafoys lesion
lesser curvature of proximal stomach
presence of linear furrows and multiple corrugated rings throughout narrowed esophagus
feline esophagus
when to repeat colonoscopy
1 or 2 small (
Repeat colonoscopy in 5 years
when to repeat colonoscopy
3 to 9 adenomas, or any adenoma 1 cm or containing high-grade dysplasia or villus features
Repeat colonoscopy in 3 years; subsequent colonoscopy based on findings
when to repeat colonoscopy:
10 adenomas
Colonoscopy in
when to repeat colonoscopy:
Piecemeal removal of a sessile polyp
Exam in 2 to 6 months to verify complete removal
when to repeat colonoscopy:
Small (
Colonoscopy in 10 years
when to repeat colonoscopy:
>2 serrated polyps, or any serrated or hyperplastic polyp 1 cm
Repeat colonoscopy in 3 years
when to repeat colonoscopy:
Incompletely removed serrated polyp 1 cm
Exam in 2 to 6 months to verify complete removal
when to repeat colonoscopy:
Colon cancer
Evaluate entire colon around the time of resection, then repeat colonoscopy in 3 years
when to repeat colonoscopy:
Long-standing (>8 years) ulcerative colitis or Crohn’s colitis, or left-sided ulcerative colitis of >15 years’ duration
Colonoscopy with biopsies every 1 to 3 years
when to do colonoscopy:
First-degree relatives with only small tubular adenomas
Single first-degree relative with CRC or advanced adenoma at age 60 years
Same as average risk
when to do colonoscopy:
Single first-degree relative with CRC or advanced adenoma at age
Colonoscopy every 5 years beginning at age 40 years or 10 years younger than age at diagnosis of the youngest affected relative
when to do colonoscopy:
FH of FAP
Sigmoidoscopy or colonoscopy annually, beginning at age 10–12 years
when to do colonoscopy:
Family History of HNPCC
Colonoscopy every 2 years beginning at age 20–25 years until age 40, then annually thereafter
Duration chronic diarrhea
> 6 weeks
Ct scan findings UC
- mild mural thickening
- inhomogeneous wall density
- absence of small bowel thickening
- increased perirectal and pre sacral fat
- target appearance of rectum
- adenopathy
