Colonoscopy : Principles and Practice

by Editor: Jerome D. Waye (Mount Sinai Hospital, New York); Editor: Douglas K. Rex; Editor: Christopher B. Williams (St Marks Hospital, Harrow)

• ISBN13: 9780470986943
• ISBN10: 0470986948
• Copyright: 2008-05-01
• Publisher: Wiley-Blackwell

Summary

Endoscopy is a medical specialism that is actively recruiting new entrants. There is considerable demand for colonoscopists in the USA and the UK to meet the respective guidelines for colorectal cancer screening in the general population. In the USA, it is recommended that men and women aged 50 years and older get screened for colorectal cancer as many studies have shown that screening reduces mortality from cancer. Colorectal cancer is the second leading cause of death in the US: the American Cancer Society estimates that 148,300 new cases will be diagnosed in 2002. Colonoscopy is now a mainstream procedure and is widely used as a screening and treatment tool for colorectal cancer and inflammatory bowel disease. As a result, the focus is now changing from developing new techniques to enhancing the efficiency and quality of fundamental techniques. There are three elements to this agenda: initial training, continuous quality improvement and patient empowerment. The table of contents has been created with these three elements at the fore. It is an extremely comprehensive textbook aimed primarily at the experienced colonoscopist but the book will be an extremely useful manual of procedures - clinical, administrative and managerial - for everyone working in the Endoscopy Unit.

Table of Contents

1. General Aspects of Colonoscopy History of Colonoscopy in the Rectum and Colon The Colonoscopy Suite The Colonoscopy Assistant Informed Consent for Colonoscopy .2. Teaching and Quality Aspects Training in Colonoscopy Teaching Aids in Colonoscopy Teaching Colonoscopy Role of Simulators in Endoscopy Continuous Quality Improvement in Colonoscopy .3. Indications, Contraindications, Screening, and Complications Indications and Contraindications Diagnostic Yield of Colonoscopy by Indication Screening Colonoscopy: Rationale and Performance Cost-effectiveness of Colonoscopy Screening Hereditary Colorectal Cancer Complications .4. Reports and Imaging Standardization of the Endoscopic Report Reporting and Image Management .5. Preparation for Colonoscopy Preparation for Colonoscopy Antibiotic Prophylaxis for Colonoscopy Management of Anticoagulation and Antiplatelet Agents Sedation for Colonoscopy .6. Hardware The Video Colonoscope The Colonoscope Insertion Tube Magnetic Imaging of Colonoscopy Accessories Clips, Loops, and Bands: Applications in the Colon Colonoscopic Biopsy Cleaning and Disinfection .7. Basic Procedure Insertion Technique Missed Neoplasms and Optimal Colonoscopic Withdrawal Technique .8. Colon Polyps: Incidence, Growth and Pathology Polyp Biology Colon Polyps, Prevalence rates, Incidence Rates, and Growth Rates Pathology of Colorectal Polyps .9. Polypectomy Principles of Electrosurgery, Laser, and Argon Plasma Coagulation with Particular Regard to Colonoscopy Polypectomy - Basic Principles Difficult Polypectomy Retrieval of Colonic Polyps .10. Malignant Polyp, Surveillance Post-Polypectomy, Post-Cancer Resection Management of the Malignant Polyps Postpolypectomy Surveillance Colonoscopy after Colon Cancer Resection .11. Neoplastic Detection and Staging: New Techniques Magnifying Colonoscopy, Early Colorectal Cancer, and Flat Adenomas Flat and Depressed Colorectal Adenomas in the Western Hemisphere Chromoendoscopy Optical Techniques for the Endoscopic Detection of Early Dysplastic Colonic Lesions #