Colonoscopy

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

• ISBN13: 9781405114493
• ISBN10: 1405114495
• Format: Hardcover
• Copyright: 2003-12-01
• 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

Preface	vii
List of Contributors	viii
Section 1: General Aspects of Colonoscopy
History of Endoscopy in the Rectum and Colon	1	(20)
H. Niwa
Y. Sakai
C.B. Williams
The Colonoscopy Suite	21	(23)
M.E. Rich
The Colonoscopy Assistant	44	(11)
L.E. Taylor
J.A. DiSario
Informed Consent for Colonoscopy	55	(8)
A.D. Feld
Section 2: Teaching and Quality Aspects
Training in Colonoscopy	63	(7)
M.L. Freeman
Teaching Aids in Colonoscopy	70	(6)
M. Schapiro
Teaching Colonoscopy	76	(8)
R.H. Teague
R.J. Leicester
Role of Simulators in Endoscopy	84	(5)
S. Bar-Meir
Continuous Quality Improvement in Colonoscopy	89	(13)
J.B. Marshall
Section 3: Indications, Contraindications, Screening, and Complications
Indications and Contraindications	102	(9)
A. Habr-Gama
P.R. Arruda Alves
D.K. Rex
Diagnostic Yield of Colonoscopy by Indication	111	(20)
F. Froehlich
J.-J. Gonvers
Screening Colonoscopy: Rationale and Performance	131	(8)
D. Lieberman
Cost-effectiveness of Colonoscopy Screening	139	(12)
A. Sonnenberg
Hereditary Colorectal Cancer	151	(19)
R.F. Wong
S. Kuwada
R.W. Burt
Complications	170	(13)
J. Church
Section 4: Reports and Imaging
Standardization of the Endoscopic Report	183	(16)
M.M. Delvaux
Reporting and Image Management	199	(11)
L. Aabakken
Section 5: Preparation for Colonoscopy
Preparation for Colonoscopy	210	(10)
J.A. DiPalma
Antibiotic Prophylaxis for Colonoscopy	220	(4)
D.J. Bjorkman
Management of Anticoagulation and Antiplatelet Agents	224	(5)
G.M. Eisen
Sedation for Colonoscopy	229	(9)
G. Zuccaro Jr
Section 6: Hardware
The Video Colonoscope	238	(21)
D.E. Barlow
The Colonoscope Insertion Tube	259	(6)
D.A. Howell
Magnetic Imaging of Colonoscopy	265	(11)
B.P. Saunders
S.G. Shah
Accessories	276	(11)
G.G. Ginsberg
Clips, Loops, and Bands: Applications in the Colon	287	(8)
M.J. Bourke
S.J. Williams
Colonoscopic Biopsy	295	(14)
W.M. Weinstein
Cleaning and Disinfection	309	(9)
D.A. Greenwald
Section 7: Basic Procedure
Insertion Technique	318	(21)
C.B. Williams
Missed Neoplasms and Optimal Colonoscopic Withdrawal Technique	339	(12)
D.K. Rex
Section 8: Colon Polyps: Incidence, Growth and Pathology
Polyp Biology	351	(7)
C.R. Boland
Colon Polyps: Prevalence Rates, Incidence Rates, and Growth Rates	358	(19)
B. Hofstad
Pathology of Colorectal Polyps	377	(16)
N. Harpaz
Section 9: Polypectomy
Principles of Electrosurgery, Laser, and Argon Plasma Coagulation with Particular Regard to Colonoscopy	393	(17)
G. Farin
K.E. Grund
Polypectomy---Basic Principles	410	(10)
J.D. Waye
Difficult Polypectomy	420	(23)
U. Seitz
S. Bohnacker
S. Seewald
F. Thonke
N. Soehendra
J.D. Waye
Retrieval of Colonic Polyps	443	(5)
B.E. Roth
Section 10: Malignant Polyp, Surveillance Post-Polypectomy, Post-Cancer Surveillance
Management of Malignant Polyps	448	(11)
S.J. Winawer
M. O'Brien
Postpolypectomy Surveillance	459	(9)
J.H. Bond
Colonoscopy after Colon Cancer Resection	468	(10)
F.P. Rossini
J.D. Waye
Section 11: Neoplastic Detection and Staging: New Techniques
Magnifying Colonoscopy, Early Colorectal Cancer, and Flat Adenomas	478	(9)
H. Kashida
Shin-ei Kudo
Flat and Depressed Colorectal Neoplasia in the Western Hemisphere	487	(14)
G.S. Raju
P.J. Pasricha
Chromoendoscopy	501	(8)
D.E. Fleischer
Optical Techniques for the Endoscopic Detection of Early Dysplastic Colonic Lesions	509	(27)
R.S. DaCosta
B.C. Wilson
N.E. Marcon
Endoscopic Ultrasonography of the Colon	536	(11)
J.W. Stubbe
P. Fockens
Virtual Colonoscopy in the Evaluation of Colonic Diseases	547	(14)
M. Macari
Section 12: Clinical Use of Colonoscopy
Colonoscopy and Severe Hematochezia	561	(12)
D.A. Jensen
G.A. Machicado
Endoscopy in Inflammatory Bowel Diseases	573	(9)
G. D'Haens
P. Rutgeerts
Infections and Other Noninflammatory-Bowel-Disease Colitides	582	(14)
R.M. Lim
J.B. Raskin
Acute Colonic Pseudo-obstruction	596	(7)
H. Nietsch
M.B. Kimmey
Radiation Proctopathy	603	(8)
C.J. Gostout
Benign and Malignant Colorectal Strictures	611	(13)
T.H. Baron
Pediatric Colonoscopy	624	(6)
M.E. Ament
G. Gershman
Section 13: Future Colonoscopy
The Future of Colonoscopy	630	(9)
P. Swain
Index	639