Lower
Gastrointestinal Endoscopy (Figs above)
Objective
The examination of the interior of the
colon for viewing and biopsy.
Position
Usually left lateral.
Anesthesia
Surface and sedation with IV diazepam.
Procedure
1. Patient
is sedated with diazepam.
2. Lubricated
colonoscope introduced.
3. View
rectum through eyepieces.
4. Advance
colonoscope under vision keeping to the center of of the colon.
5. Entire
colon can be examined while withdrawing instruments.
6. Biopsies
or cytology specimens can also be obtained.
Instruments
• Colonofiberscope.
• Fiberoptic
light source/diathermy power supply.
• Biopsy
forceps (these includes those suitable for cutting, grasping, taking cytology
specimens, etc).
• Accessories
for endoscopic diathermy (e.g. snares, cutter, electrodes).
• Colon
stiffening tube.
• Lubricant,
e.g. lignocaine (xylocaine) gel.
• Water
container/irrigator.
• Carbon
dioxide gas source.
• Medical
vacuum.
• Camera.
Any questions be sent to drmmkapur@gmail.com
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