Practical Pediatric Gastrointestinal Endoscopy-2판

Hardcover - 256 pages

Practical Pediatric Gastrointestinial Endoscopy is the only text available that is focused on detailed instructions of
all practical aspects of diagnostic and therapeutic endoscopic procedures in children. The advice is based on unique
personal experience of thousands of endoscopic or colonoscopic procedures, written by a team of authors with experience
in performing the diagnostic and therapeutic endoscopic procedures in children and infants of all ages. This book gives
detailed descriptions of the investigation, diagnosis and therapeutic pediatric GI endoscopy treatments and also looks
at the mechanical and optical characteristics of endoscopes and principles of image processing with special attention
to the differences between instruments used for adults and for pediatric patients.

The step-by-step description of each procedure explains the purpose of each maneuver, with much greater emphases on the
practical aspects of diagnostics and therapeutic procedures to provide the best results and maximize patient safety. It
looks at patient care before, during and after procedures and considers the new and less invasive Wireless Capsule
Endoscopy options that will be less traumatic for the pediatric patient. The key points of each step are accompanied by
easy-to-follow color diagrams and a comprehensive atlas of endoscopic images, illustrating both normal and abnormal
pathology, aiding and perfecting diagnosis and treatment. The diagnostic procedures described are tailored to the age-
related variation in common GI pathology and this book gives comprehensive descriptions and explanations of the
differences for procedures in children from those in adults.

Table of Contents
Settings and Staff 2
The endoscopy unit 2
Pediatric endoscopy nurse 3
Disinfections of the endoscopes and accessories 4
Documentation 4
Further reading 5
Equipment 6
Overview 6
Insertion tube 6
Video image capture 16
"Reading" the image created on the CCD 18
Types of CCDs 20
History of endoscope CCD development 21
Shape of displayed image 22
Reproduction of color 23
Reproduction of motion 32
Transillumination 33
Laser therapy with video endoscopes 33
Image resolution 34
Color reproduction accuracy 35
Troubleshooting 35
Endoscope reprocessing 35
Summary 43
Further reading 43
Patient Preparation 45
Pediatric-monitored sedation and anesthesia for diagnostic and therapeutic procedures in endoscopy 46
During sedation 51
Postsedation care 52
Specific sedation techniques 52
Further reading 57
Diagnostic Upper Endoscopy Technique 60
Preparation for esophageal intubation 60
Assembling the equipment and preprocedure checkup 61
Endoscope handling 62
Technique of esophageal intubation 63
Indications for upper endoscopy 77
Push enteroscopy/jejunoscopy 94
Further reading 97
Therapeutic Upper GI Endoscopy 102
Benign esophageal stricture 102
Pneumatic dilation in achalasia 103
Foreign bodies 105
Endoscopic hemostasis 109
Percutaneous endoscopic gastrostomy 117
Nasojejunal tube placement 125
Further reading 127
Pediatric Colonoscopy 132
Introduction 132
Indications for colonoscopy 132
Preparation of the patient for colonoscopy 134
Equipment 137
Magnetic imaging system 138
Informed consent and preprocedure preparation 139
Sedation for colonoscopy 139
Embryology of the colon 140
Endoscopic anatomy 142
Torque-steering technique 147
Exploration of the sigmoid colon and sigmoid-descending junction 152
Splenic flexure and transverse colon 154
Hepatic flexure, ascending colon, and cecum 155
Terminal ileum 156
Complications 157
Common pathology 159
Further reading 168
Polypectomy 171
Basic principles of electrosurgery 171
Snare loops 173
Polypectomy routine 175
Safety routine 175
Safety conditions and techniques 176
Complications 180
Further reading 180
Chromoendoscopy 181
Indications 181
Application technique 184
Recognition of the lesions 189
Further reading 193
Wireless Capsule Endoscopy 194
History 194
The Given M2A system 194
Localization 195
Suspected blood indicator 196
Indication for use 196
Diagnostic yield 196
Contraindications to capsule endoscopy 197
Pacemaker safety 197
Bowel preparation 197
Promotility agents 198
Endoscopic assistance 198
Complications 198
Outcome of capsule endoscopy 198
Pediatric patients 198
Further reading 199
Index 201