Lecture 35 Endoscopy

Question 1

What are the benefits of capsule enteroscopy

Answer 1

Images taken throughout structure

Question 2

Limitation of caps enteroscopy

Answer 2

only shows lesions or polyps-not possible to sample them

Question 3

What is a endoscopic treatment for Achalasia

Answer 3

POEM

Question 4

What treatment is used for low grade dysplasia

Answer 4

Radio Frequency Ablation

Question 5

How to manage upper GI bleed

Answer 5

Clip
Thermal
Ban ligation
Injecting thrombin
Sclerotherapy
Cyanoacrylate injecction

Question 6

What is HPB endoscopy

Answer 6

EUS with radial scope and liner scope (180 degrees)

Question 7

What is ERCP

Answer 7

Catheter with LED system use to enter bile duct

Question 8

Name therapeutic EUS

Answer 8

FNA/FNB

Drainage

Question 9

What are surgical methods to relieve Biliary instruction in pancreatic cancer

Answer 9

• EUS-guided drainage
• Transgastric
• Transduodenal

Question 10

When is Spy Glass Cholnagioscopy used

Answer 10

• Large sturdy gall stones
• Easier to manage difficult stones
• EHL probe through bile duct and break large stones into small pieces

Question 11

Describe ERCP guided RFA

Answer 11

• Stent inserted current applied and ablate tumour

* Prevent biliary obstruction to minimise risk of jaundice

Question 12

When is Biliary manometers used

Answer 12

• Spasm of sphincter of Oddi

* Place probe in sphincter area ad measure the pressure >40mmHg