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Practical Pediatric Gastrointestinal Endoscopy - part 6 potx

Practical Pediatric Gastrointestinal Endoscopy - part 6 potx

Practical Pediatric Gastrointestinal Endoscopy - part 6 potx

... is Practical Pediatric Gastrointestinal Endoscopy George Gershman, Marvin Ament Copyright © 2007 by Blackwell Publishing Ltd 1 06 CHAPTER 6 pressure necrosis of the cervical esophagus (Fig. 6. 4) ... utilized.Injection of sclerosants can be done either intra- or par-avariceally (or both) through a 2 5- or 27-gauge needle startingfrom the Z-line and moving cephalad in a spiral fashion alongthe ... proper positioning of the middle part of a dilator across the diaphragm. Then the balloon is inflatedTHERAPEUTIC UPPER GI ENDOSCOPY 111Cherry-red spotsFig. 6. 15 Cherry-red spot. The varices with...
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Practical Pediatric Gastrointestinal Endoscopy - part 4 potx

Practical Pediatric Gastrointestinal Endoscopy - part 4 potx

... GI en-doscopy:1 Urgent endoscopy 2 Elective/diagnostic endoscopy 3 Therapeutic endoscopy DIAGNOSTIC UPPER ENDOSCOPY TECHNIQUE 63 The R/L knob is useful for targeting the biopsy, U-turn ma-neuver, ... quite simple with a thin 5-mm endoscope: it re-quires only gentle advancement. The 7- and 8-mm pediatric en-doscopes are more rigid and difficult to straighten during duo-denoscopy in neonates ... psychologicinterventions for procedural pain. Pediatrics 1998;102:59 66 .Lowrie L, Weiss AH, Lacombe C. The pediatric sedation unit: a mecha-nism for pediatric sedation. Pediatrics 1998;102:E30.Lund N,...
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Practical Pediatric Gastrointestinal Endoscopy - part 1 pps

Practical Pediatric Gastrointestinal Endoscopy - part 1 pps

... index.ISBN-13: 97 8-1 -4 05 1-3 19 3-3 ISBN-10: 1-4 05 1-3 19 3-4 1. Pediatric gastroenterology—Endoscopic surgery.I. Ament, Marvin Earl, 1938– II. Title.[DNLM: 1. Endoscopy, Gastrointestinal. 2. Pediatrics—methods.3. ... Cataloging-in-Publication DataGershman, George. Practical pediatric gastrointestinal endoscopy / George Gershman,Marvin Ament.p. ; cm.Includes bibliographical references and index.ISBN-13: 97 8-1 -4 05 1-3 19 3-3 ISBN-10: ... preprocedurecheckup, 61 Endoscope handling, 62 Technique of esophageal intubation, 63 Indications for upper endoscopy, 77Push enteroscopy/jejunoscopy, 94Further reading, 97 6 Therapeutic Upper GI Endoscopy, ...
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Practical Pediatric Gastrointestinal Endoscopy - part 3 docx

Practical Pediatric Gastrointestinal Endoscopy - part 3 docx

... numbers of pediatric studies look at the risk involvedin doing endoscopy. Carefully collected data on adverse pedi-atric outcomes in pediatric upper intestinal and lower intesti-nal endoscopy ... sterilization 46 CHAPTER 4 PEDIATRIC- MONITORED SEDATION ANDANESTHESIA FOR DIAGNOSTIC ANDTHERAPEUTIC PROCEDURES IN ENDOSCOPY Monitored sedation and analgesia for diagnostic and therapeu-tic procedures ... than 60 weeksofpostconceptual age: residual pul-monary, cardiovascular, gastrointestinal, and neurologic prob-lems3 Neurologic conditions: poorly controlled seizures, central apnea4 Gastrointestinal...
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Practical Pediatric Gastrointestinal Endoscopy - part 5 pps

Practical Pediatric Gastrointestinal Endoscopy - part 5 pps

... J Gastroenterol 1977 ;68 : 362 6. Mougenot JF, Montagne JPh, Faure C. Gastrointestinal fibro -endoscopy in infants and children: radio-fibroscopic correlations. Ann Radiol19 76; 19(1):23–34.Oberhuber ... Gastrointestinal Dis-ease, 4th edn. Hamilton, Ontario: BC Decker; 2004: 166 7–73.Freeman NV. Pediatric gastroscopy. Lancet 1971;1(7713):1351.Gershman G, Ament ME. Pediatric upper gastrointestinal endoscopy: state ... rightabove the Z-line is normal for neonates and should not be associ-ated withgrade-1 lesions.Endoscopic descriptionsof esophagealmucosa in children with grade-0 and -1 lesions are quite sub-jective...
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Practical Pediatric Gastrointestinal Endoscopy - part 7 ppt

Practical Pediatric Gastrointestinal Endoscopy - part 7 ppt

... 3.2EC-250 LP5 1390 11.1 3.2EC-450 MP5 1330 11.1 3.2EC-450 LP5 169 0 11.1 3.2Olympus CorpPCF-140 L 168 0 11.5 3.2PCF- 160 L 168 0 11.5 3.2PCF-Q180 AL 165 5 11.5 3.2Pentax CorpEC-3430 L 1700 11.7 3.5Table ... 2004;20:4 96 501.Endoscopic hemostasisAmerican Society for Gastrointestinal Endoscopy. ASGE guide-line: therole of endoscopy in acute non-variceal upper-GI hemorrhage. Gas-trointest Endosc 2004 ;60 :497–504.Beppu ... performed withthe so-called over-the-wire method. First, a pediatric gastroduo-denoscope or colonoscope is inserted into the distal duodenumor the proximal jejunum. Then, a Teflon-coated guidewire...
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Practical Pediatric Gastrointestinal Endoscopy - part 8 ppt

Practical Pediatric Gastrointestinal Endoscopy - part 8 ppt

... control of an entire colonoscoperCoordinated activity of the left-hand-operated up/down con-trol knob and the right-hand-rotated shaftrAlmost immediate response to a changing position of ... associated with pediatric colonoscopy. 164 CHAPTER 7Fig. 7.40 Sessile juvenile polyp.Juvenile or inflammatory polyps are not uncommon in chil-dren.They are most prevalent in the 4 6- year age group ... polypectomyof the largest polyps pro-vide tissues for initial diagnosis of low- or high-grade dysplasia.Upper GI endoscopy should be performed in these patients, es-pecially in children with Gardner’s...
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Practical Pediatric Gastrointestinal Endoscopy - part 9 docx

Practical Pediatric Gastrointestinal Endoscopy - part 9 docx

... cancer rate, chromoendoscopy with Lugol’s solu-tion showed a sensitivity of 6296% and a specificity of 63 %.However, esophageal dysplasia and cancer are extremely un-common in pediatric patients, ... JR,Walker-Smith JA,Watkins JB (eds), Pediatric Gastrointestinal Disease :Pathophysiology, Diagnosis, and Management, 3rd edn.Hamilton,ON: BC Decker; 2000:7 96 809. PEDIATRIC COLONOSCOPY 169 Hassall ... children: experi-ence in the pediatric intensive care unit. Pediatrics 1999;103:E30.Hoppin A.Other neoplasms. In:Walker WA, Durie PB,Hamilton JR,Walker-Smith JA,Watkins JB (eds), Pediatric Gastrointestinal...
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Practical Pediatric Gastrointestinal Endoscopy - part 10 pptx

Practical Pediatric Gastrointestinal Endoscopy - part 10 pptx

... intubation 71–4biopsy technique 76 7blind 63 direct observation 63 finger assisted 63 indications 77–94preparation 60 pull-and-twist technique 72 6 technique 63 –4, 65 , 66 –77esophageal sphincter, ... 78non-Hodgkin’slymphoma 91, 167 non-steroidal anti-inflammatorydrugs (NSAIDs) 80, 87nursing staff 2skills 3–4opioid antagonists 55 6 over-the-wire method 1 26 7pacemakers,wireless capsule endoscopy 197painreflex ... 145 6, 155 6 herpes simplex virus (HSV)esophagitis 85, 86 gastritis 87hiatus hernia 85hyoscine N-butylbromide 188ileitis, back-washed 160 ileocecal valve 1 56 ileocolonic intussusception 167 ileumnon-Hodgkin’slymphoma...
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Gastrointestinal Endoscopy - part 5 potx

Gastrointestinal Endoscopy - part 5 potx

... Gastroenterol19 96; 91:34 8-3 54.9. Jamidar PA, Beck GJ, Hoffman BJ et al. Endoscopic retrograde cholangio-pancreatography in pregnancy. Am J Gastroenterol 1995; 90:12 6- 1 37.CHAPTER 16 Gastrointestinal Endoscopy, ... well.120 Gastrointestinal Endoscopy 16 small bowel endoscopy has been with pediatric or adult colonoscopy passedorally. These permit endoscopic evaluation to about 4 0 -6 0 cm beyond the liga-ment ... 49:22 4-2 26. 6. Rimensberger P, Schubiger G, Willi U. Connatal rickets following repeated ad-ministration of phosphate enemas in pregnancy: A case report. Eur J Pediatr 1992;151:5 4-5 6. 105Endoscopy...
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