By Helmut Messmann

A entire consultant to colonoscopy that includes greater than 1,000 significant

In contemporary many years, colonoscopy has built into essentially the most
essential strategies for early screening, detection, and analysis of colorectal
cancer, inflammatory bowel disorder, and different problems. And quick advances in
interventional endoscopy provide medical professionals and sufferers an ever-increasing array of
treatment chances. For newbies to the process and complex
practitioners alike, this lavishly illustrated atlas is a cutting-edge consultant
to overall colonoscopy. Atlas of Colonoscopy is...


  • Expert authors current the entire priceless
    tools and exam options, in addition to instructions on guidance,
    similar drugs, problems, and extra.
  • Tips and methods for device insertion and tips
  • Illustrated, thorough descriptions of standard findings
    in all colon segments
  • A logical constitution and easy-to-use-layout


  • Detailed descriptions and a number of illustrations of
    a number of pathological findings
  • Endoscopic standards and differential diagnoses for all
    significant ailments
  • Useful advisor to exam approaches counting on scientific findings


  • Coverage of the entire spectrum of interventional
    colonoscopy, together with polypectomy, mucosectomy, tumor remedy, elimination
    overseas items, treating fistulas, and suture insufficiency
  • Indications and good fortune premiums of varied remedies, together with
    thermocoagulation, injection, and mechanical treatments

Compiled by way of a crew of specialists with many years of mixed event within the box, the Atlas of
is an important source for an individual operating in an endoscopy

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Extra info for Atlas of Colonoscopy: Techniques · Diagnosis · Interventional Procedures

Sample text

The endoscope tip is then inserted in the rectum and guided digitally without visualization. The examiner should explain to the patient the steps being taken and inform the patient that he may experience the urge to evacuate his bowels. The endoscope tip is inserted in the direction indicated by preceding palpation; as a rough guide, the direction of the anal canal runs in a line between the anus and the navel. After “blindly” inserting the endoscope 4–5 cm, b Fig. 2 Inspecting the perianal region.

Slowly withdrawing the instrument and per- 37 í Inserting the Endoscope and Advancing It in the Colon b Normal Examination Procedure a II Fig. 32 Polyp in the proximal rectum. a After endoscopic resection, a small remaining polyp piece was visible from distal next to the ulcerated resection site. Another polyp piece is likely on the other side of the fold at the lower edge of the resection site. b The whole polyp could only be seen by viewing (retroflexion) behind the fold. Retroflexion was performed using a gastroscope, which offers more flexibility.

Other imaging techniques. ), is one alternative to radiographic screening. The images are highly correlated with corresponding radiographs and 5 II Fig. 31 Three-dimensional computerized scope positioning (Scope Guide, Olympus): colonoscope position, split-screen display of different views. correctly determine instrument position. Three-dimensional positioning avoids roentgen ray exposure and it also has the distinct advantage of continually recording instrument position during advancement, giving the examiner the option of responding quickly to looping by pulling back the endoscope or applying external hand pressure.

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