Thursday, January 16, 2014

ENDOSCOPY 4 upper GI Procedure position steps instruments



Upper Gastrointestinal Endoscopy (Figs above)
Objective
Examination and biopsy of esophagus, stomach and duodenum.
Position
Left lateral or sitting.
Anesthesia
Surface and sedation with IV diazepam.
Procedure
1.      Patient is sedated with intravenous diazepam.
2.      Plastic mouth-guard.
3.      Lubricated fiberscope.
4.      Passed into mouth over the tongue.
5.      Patient asked to swallow.
6.      Instruments advanced.
7.      No force should be used.
•       As instruments enter esophagus examine through eyepiece.
•       Advance instrument under vision into stomach.
Instruments and Equipments Required
•       Suitable fiberscope (e.g., forward, or side viewing).
•       Fiberoptic light source/diathermy power supply.
•       Mouth guard.
•       Biopsy forceps (these include those suitable for cutting, grasping, taking cytology specimens, etc).
•       Accessories for endoscopic diathermy (e.g., snares, knives, electrodes).
•       Angled tongue depressor.
•       Pharyngeal spray.
•       Topical anesthetic, e.g. 1 percent lignocaine (xylocaine).
•       Lubricant, e.g. lignocaine (xylocaine) gel.
•       Esophageal bougies and tubes sizes 16 and 18 Charriere gauge may be required water container/irrigator.
•       Medical vacuum.
•       Camera if required.

Any questions be sent to drmmkapur@gmail.com
All older posts are stored in archives for access & review.
Visitors that follow may post contributions to the site please write to address above.
To create consumer/provider engagement visit www.surgseminar.blogsot.com

No comments:

Post a Comment