Endoscopy, ERCP and Nutrition

Question 1

What is endoscopy?

Answer 1

An endoscope is a long, thin, flexible tube that has a light and camera at one end. This is inserted into the GI tract to have a look inside.

Question 2

When would you need an endoscopy?

Answer 2

> Unresponsive dyspepsia
> Systemic signs
> Persistent GORD
> Occult GI bleeds
> Malignancy surveillance

Question 3

What are the complications of an endoscopy?

Answer 3

Perforation (tear in the gut wall)
Reaction to sedation
Infection
Bleeding

Question 4

What is an ERCP?

Answer 4

Endoscopic Retrograde Cholangio Pancreatography looks at the biliary system

Question 5

When would you do an ERCP?

Answer 5

> Biliary Disease
> Jaundice (obstructive)
> Drainage 
> Sphincter of Oddi causes
> Strictures or leaks

Question 6

What are the possible complications of an ERCP?

Answer 6

Pancreatitis, bleeding, perforation and infection/cholangitis

Question 7

What is enteral and parenteral feeding?

Answer 7

Enteral nutrition generally refers to any method of feeding that uses the gastrointestinal (GI) tract to deliver part or all of a person’s caloric requirements

Parenteral nutrition refers to the delivery of calories and nutrients into a vein

Question 8

What are the indications for CANH?

Answer 8

Enteral
> Anorexia or malnutrition
> Coma
> Liver failure

Parenteral
> Obstruction
> Malabsoprtion (SBS)
> Fistula

Question 9

What are the complications of CANH?

Answer 9

Enteral
> Aspiration
> tube malposition
> Refeeding syndrome
> Metabolic/ nutritional imbalance

Parenteral
> Dehydration and imbalance
> Infection
> Thrombosis
> Liver failure
> Vitamin Deficiencies