Upper and Lower GI Endoscopy Flashcards
endoscopy procedure
thin, long, flexible tube with a light source and camera at tip is inserted into body and relay images back to doctors
types of endoscope
rigid
flexible
oesophago-gastro-duodenoscopy preparation
OGD needs nil-by mouth 2-6 hrs
local/general anaesthesia
when to need gastroscopy
diagnostic- heartburn, dysphagia, abdominal pain, vomiting, weightloss
therapeutic- treatment of GI bleeding, removal of foreign body, tumor ablation
colonoscopy preparation
bowel clearance with laxitives
clear fluids
low fibre diet
sedation
when to give colonoscopy
diagnostic- change in bowel habits,diarrhoea, iron deficiency anaemia, rectal bleeding, weightloss
therapeutic- polypoectomy, hemostasis, foreign body removal
other imaging procedures
endoscopic retrograde cholangio- pancreatography (ERCP)
percutaneous endoscopic gastromy (PEG) - for feeding patients who can’t swallow
double balloon endoscopy-small bowel imaging
capsule endoscopy
endoscopic ultrasound
risks of endoscopy
bleeding
respiratory disease
hypotension
excessive sedation
teeth damage
pain
when not to carry out procedure
unresponsive patient
no consent
after myocardial infarction
futile
severe bleeding