Handbook of Gastroenterologic Procedures

 

Description:

The only handbook to cover both endoscopic and non-endoscopic GI procedures, Handbook of Gastroenterologic Procedures, 5th Edition, has been extensively revised and reorganized to be even more useful as a quick reference in your practice. New editors, 20 new chapters, and a concise, pocket-sized format make it a must-have resource for clinicians involved in any aspect of gastroenterologic procedures.

 

Table of Contents:

 

I. PREPARATION OF THE PATIENT

1 Pre-procedure Assessment of Patients Undergoing Gastrointestinal Procedures

INDICATIONS

PREPROCEDURE ASSESSMENT

PERIPROCEDURAL PLANNING

INFORMED CONSENT

2 Analgesia and Sedation

ASA CLASSIFICATION

3 Bowel Preps

GENERAL CONSIDERATIONS

UPPER ENDOSCOPY

PHYSIOLOGIC STUDIES

CAPSULE ENDOSCOPY

DEEP ENTEROSCOPY

FLEXIBLE SIGMOIDOSCOPY

COLONOSCOPY

4 Management of Anticoagulation and Antithrombotics

PROCEDURAL RISK

THROMBOSIS RISK

BLEEDING RISK

Procedure-Related Factors

Patient-Related Factors

BRIDGING

POLYPECTOMY

CORONARY STENTS AND DUAL ANTIPLATELET THERAPY

DIRECT-ACTING ORAL ANTICOAGULANTS

REVERSAL AGENTS

II. UPPER ENDOSCOPY PROCEDURES

5 Esophagogastroduodenoscopy

INDICATIONS

Diagnostic

Therapeutic

CONTRAINDICATIONS

Absolute

Relative

PREPARATION

EQUIPMENT

PROCEDURE

Passing the Endoscope

Visualization of Esophagus, Stomach, and Duodenum

Biopsy

Cytology

Subacute Bacterial Endocarditis Prophylaxis

MISCELLANEOUS

POSTPROCEDURE

ADVERSE EVENTS

2018 CPT CODES

6 Dilation of the Esophagus: Wire-guided Bougie (Savary, American) and Balloon Dilators

INDICATIONS

CONDITIONS UNLIKELY TO BENEFIT FROM DILATION

CONTRAINDICATIONS

PREPARATION

WIRE-GUIDED BOUGIE (SAVARY OR AMERICAN) DILATION

Equipment

Procedure

TTS BALLOON DILATION

Equipment

Procedure

POSTPROCEDURE

ADVERSE EVENTS

CPT CODES

7 Feeding Tubes (Nasogastric, Nasoduodenal, and Nasojejunal)

INDICATIONS

CONTRAINDICATIONS

PRECAUTIONS/PREPARATION

BEDSIDE PLACEMENT

Nasogastric Tube Placement

Nasoduodenal or Nasojejunal Placement

Fluoroscopic/Radiographic Placement

Endoscopic Placement (Without Guidewire)

Endoscopic Placement (With Guidewire, Video 7.1)

POST PROCEDURE

ADVERSE EVENTS

CPT CODES

8 Percutaneous Endoscopic Gastrostomy (PEG), Percutaneous Endoscopic Gastrostomy and Jejunostomy (PEGJ), and Direct Percutaneous Endoscopic Jejunostomy (DPEJ)

INDICATIONS

CONTRAINDICATIONS

ETHICAL ISSUES

PREPARATION FOR ALL PERCUTANEOUS ENTERAL ACCESS TECHNIQUES

PEG (PERCUTANEOUS ENDOSCOPIC GASTROSTOMY): PONSKY PULL AND SACKS-VINE PUSH TECHNIQUE

Equipment

Procedural Steps

PEG (PERCUTANEOUS ENDOSCOPIC GASTROSTOMY): RUSSEL INTRODUCER TECHNIQUE

Indications

Equipment

Procedural Steps

Postprocedure Care

Complications

JEJUNAL FEEDING

Indications

Contraindications

TWO-PIECE PEGJ: KIRBY TECHNIQUE

Equipment

Procedural Steps

TWO-PIECE PEGJ: JOHLIN TECHNIQUE

Equipment

Procedural Steps

ONE-PIECE PEGJ

Equipment Required

Procedural Steps

DPEJ (DIRECT PERCUTANEOUS ENDOSCOPIC JEJUNOSTOMY)

Equipment

Procedural Steps

9 Ablation Therapy for Barrett Esophagus

Indications

CONTRAINDICATIONS

Absolute

Relative

PREPARATION

RADIOFREQUENCY ABLATION

EQUIPMENT

PROCEDURE

Circumferential RFA With Barrx 360 Express RFA Balloon Catheter

Focal RFA With Barrx 90, 60, and Ultra Long RFA Catheters

Touchup RFA With Barrx Channel RFA Endoscopic Catheter

CRYOTHERAPY ABLATION

EQUIPMENT

PROCEDURE

Liquid Nitrogen Spray Cryotherapy (CSA truFreeze)

Liquid Nitrous Oxide Balloon Cryotherapy (C2 CryoBalloon)

POSTPROCEDURE

ADVERSE EVENTS

CPT CODES

10 Endoscopic Mucosal Resection of Esophageal Lesions

DISEASE STATE

TECHNIQUE

RISKS

SUCCESS RATES

CONCLUSION

11 Endoscopic Management of Foreign Bodies of the Upper Gastrointestinal Tract

INDICATIONS FOR ENDOSCOPY

Emergent

Urgent (i.e., Within 24 Hours)

Routine

CONTRAINDICATIONS FOR ENDOSCOPIC INTERVENTION

Absolute

Relative

Special Considerations

PREPARATION

Historical Considerations

Physical Examination

Anatomic Considerations

Radiologic Considerations

Pharmacologic Considerations

EQUIPMENT

PROCEDURE

Simulation

Intubation

Overtube Insertion

Esophageal Food Impaction

Blunt Objects

Sharp Objects

POSTPROCEDURE

ADVERSE EVENTS

CPT CODES ASSOCIATED WITH ENDOSCOPIC FOREIGN BODY REMOVAL

12 Pneumatic Dilation for Achalasia

CONTRAINDICATIONS

PREPROCEDURAL PLANNING

EQUIPMENT

PROCEDURE

POSTPROCEDURE

PNEUMATIC DILATION WITH ESOFLIP

13 Placement of Esophageal Self-Expandable Metal Stents

INDICATIONS

CONTRAINDICATIONS

PREPARATION

EQUIPMENT

PROCEDURE

POSTPROCEDURE

ADVERSE EVENTS

III. SMALL BOWEL ENDOSCOPY PROCEDURES

14 Push Enteroscopy

PUSH ENTEROSCOPY

Indications

Contraindications (Similar to Those of Upper Endoscopy)

Absolute

Relative

Equipment

Preparation (Similar to Upper Endoscopy)

Procedure

Adverse Events

INTRAOPERATIVE ENTEROSCOPY

Procedure

CPT CODES

15 Deep Enteroscopy

INDICATIONS

CONTRAINDICATIONS (SIMILAR TO THOSE OF UPPER ENDOSCOPY)

Absolute

Relative

EQUIPMENT

PREPARATION

SINGLE-BALLOON ENTEROSCOPY PROCEDURE

DOUBLE-BALLOON ENTEROSCOPY PROCEDURE

SPIRAL ENTEROSCOPY

Special Preparation

PROCEDURE—INSERTION

PROCEDURE—SPIRAL ENTEROSCOPY TECHNIQUE

PROCEDURE—WITHDRAWAL

RETROGRADE (PERRECTAL) SPIRAL ENTEROSCOPY

NOVEL MOTORIZED SPIRAL ENDOSCOPE

ADVERSE EVENTS

CPT CODES (15)

16 Placement of Enteral Self-Expandable Metal Stents

PATIENT SELECTION

Indications

Malignant

Benign

CONTRAINDICATIONS

PATIENT PREPARATION

Preprocedural Planning and Equipment

Prerequisites

Imaging

Procedural considerations

Choice of endoscope

Type of Stent

TECHNIQUES OF INSERTION

Through-the-scope SEMS insertion

Non–through-the-scope SEMS insertion

POSTPROCEDURE

ADVERSE EVENTS

SPECIAL CONSIDERATION

Concomitant Biliary and Duodenal Obstruction

CPT CODES

17 Endoscopic Mucosal Resection of Duodenal Lesions

NONAMPULLARY DUODENAL ADENOMAS

Preparation

Equipment

Endoscopic Evaluation

Methods of Duodenal Adenoma Resection

Special Considerations

Outcomes

Possible Adverse Events

Follow-up

AMPULLARY ADENOMAS

Preparation: Same as for Duodenal Adenoma Resection Except

Equipment: Same as for Duodenal Adenoma Resection Except

Assessment of Ampulla: Features of Benign Disease

How the Author Performs

Other Therapeutic Options

Adverse Events—Overall Adverse Event Rate 15%, Mortality Extremely Rare

Outcomes

Postprocedure

18 Capsule Endoscopy

INDICATIONS

CONTRAINDICATIONS

PREPARATION

EQUIPMENT

PROCEDURE

POSTPROCEDURE

INTERPRETATION

ADVERSE EVENTS

OTHER USES FOR THIS TECHNIQUE

CPT CODES

IV. COLONOSCOPY PROCEDURES

19 Basic Colonoscopy

INDICATIONS

Diagnostic, Including

Therapeutic, Including

CONTRAINDICATIONS

Absolute

Relative

PREPARATION

EQUIPMENT

Components of Colonoscope

PROCEDURE

Positioning

Techniques

Examination

THERAPEUTIC COLONOSCOPY

POST PROCEDURE

ADVERSE EVENTS

CPT CODES

20 Anoscopy and Rigid Sigmoidoscopy

INDICATIONS

CONTRAINDICATIONS

Absolute

Relative

PREPARATION

EQUIPMENT

Minimal Equipment

Useful Equipment

PROCEDURE

Position

Left Lateral (Sims) Position

Knee-Chest Position

Prone, Inverted (Jackknife) Position with Sigmoidoscopy Table

Digital Examination

Anoscopic Examination

Sigmoidoscopy Examination

Rectal Biopsy with Alligator Forceps

POSTPROCEDURE

CPT CODES

21 The Role of Endoscopy in the Management of Hemorrhoids

INCIDENCE

ANATOMY AND PATHOPHYSIOLOGY

GRADE

INDICATIONS

CONTRAINDICATIONS

Absolute

Relative/Considerations

ADVERSE EVENTS

PREPARATION

THERAPIES

Rubber Band Ligation

Equipment

Endoscopic Rubber Band Ligation Procedure

Endoscope-Free Rubber Band Ligation

Adverse Events1,20-22

Sclerotherapy

Equipment

Procedure

Adverse Events26-31

Infrared Coagulation

Equipment

Procedure Endoscopic Device

Procedure Handle-Base Device

Adverse Events1

Bipolar or Direct Current Electrocautery

Equipment

Procedure (Video 21.1)

Adverse Events

Post Procedure

CONCLUSIONS

CPT Codes

22 Polypectomy, Endoscopic Mucosal Resection, and Tattooing in the Colon

POLYP EVALUATION

POLYPECTOMY INDICATIONS

POLYPECTOMY CONTRAINDICATIONS

PREPARATION

EQUIPMENT

Polypectomy

Adjuncts for EMR

Tattooing

PROCEDURE

Principles of Performing Effective Polypectomy, Regardless of the Modality Employed

Cold Snare Polypectomy

Hot Snare Polypectomy

Techniques for Pedunculated Polyps

Endoscopic Mucosal Resection

Endoscopic Tattooing

POSTPROCEDURE

INTERPRETATION

ADVERSE EVENTS

CPT CODES

23 Colonic Decompression

INDICATIONS

APPROACH TO A PATIENT WITH COLONIC DILATION

COLONOSCOPIC DECOMPRESSION—PROCEDURE

COLONIC DECOMPRESSION TUBE PLACEMENT

ADVERSE EVENTS

SURGICAL MANAGEMENT

CONCLUSION

24 Placement of Colonic Self-Expandable Metal Stents

INDICATIONS

CONTRAINDICATIONS

PREPARATION

EQUIPMENT

PROCEDURE

ADVERSE EVENTS

POSTPROCEDURE

V. ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY

25 Basics of ERCP

PREPROCEDURAL CONSIDERATIONS

Indications

Contraindications

Periprocedural Administration of Antibiotics

Equipment

INTRAPROCEDURAL CONSIDERATIONS

Sedation

Patient Positioning

Technique

Duodenoscope Insertion

Aligning the Papilla for Selective Cannulation

Sphincterotomy

Fluoroscopic Imaging

POSTPROCEDURAL CONSIDERATIONS

Adverse Events

Pancreatitis

Bleeding

Perforation

CONCLUSION

26 Endoscopic Sphincterotomy

INDICATIONS AND CONTRAINDICATIONS

Patient Preparation

Equipment Needed

TECHNIQUES

Biliary and Pancreatic Sphincterotomy

Precut Sphincterotomy

NKS Technique

NKF Technique

TPS Technique8

Minor Papilla Sphincterotomy (and Precut Minor)

Standard Pull Sphincterotome

Needle Knife Over Pancreatic Duct Stent

Minor Papilla Precut

ADVERSE EVENTS

Treatment of Adverse Events

27 Management of Biliary Lithiasis

INDICATION

ABSOLUTE CONTRAINDICATIONS

RELATIVE CONTRAINDICATIONS

EQUIPMENT

PREPROCEDURE

PROCEDURE

Techniques for Stone Extraction

Balloon Sphincteroplasty + Balloon/Basket Extraction

Sphincterotomy + Balloon/Basket Extraction (Video 27.1)

Mechanical Lithotripsy

Combined Endoscopic Sphincterotomy and Papillary Large Balloon Dilation

Cholangioscopy with Intraductal Lithotripsy

Electrohydraulic Lithotripsy (Video 27.2)

Laser Lithotripsy

POSTPROCEDURE

ADVERSE EVENTS

CONCLUSION

28 Management of Biliary and Pancreatic Ductal Obstruction: Endoprosthesis and Nasobiliary/Nasopancreatic Drain Placement

INDICATIONS

Biliary Endoprosthesis

Pancreatic Endoprosthesis

Nasobiliary Drain

Nasopancreatic Drain

CONTRAINDICATIONS

PREPARATION

EQUIPMENT, ENDOSCOPES, DEVICES, ACCESSORIES

BILIARY ENDOPROSTHESES

PANCREATIC ENDOPROSTHESES

PROCEDURE

Biliary Stent Placement

Pancreatic Stent Placement

Nasobiliary Catheter Placement

Nasopancreatic Drain Placement

ADVERSE EVENTS

VI. ENDOSCOPIC ULTRASOUND

29 Basics of Endoscopic Ultrasound

INDICATIONS FOR EUS

CONTRAINDICATIONS

Absolute Contraindications

Relative Contraindications

PREPARATION

EQUIPMENT

PROCEDURE

Performing EUS in the Upper Gastrointestinal Tract

Advancing the Echoendoscope

Visualization of Esophagus, Stomach, and Duodenum

Performing EUS in the Lower Gastrointestinal Tract

Advancing the Echoendoscope

Visualization of Sigmoid Colon and Rectum

COMPLICATIONS

CPT CODES

30 Endoscopic Ultrasound-Guided Fine Needle Aspiration and Biopsy

INDICATIONS

RELATIVE CONTRAINDICATIONS

ABSOLUTE CONTRAINDICATIONS

PREPARATION

EQUIPMENT

PROCEDURE

POSTPROCEDURE

ADVERSE EVENTS

CPT CODES FOR EUS FINE NEEDLE ASPIRATION PROCEDURES

Upper Gastrointestinal Procedures

Lower Gastrointestinal Procedures

31 Endoscopic Ultrasound-Guided Liver Biopsy

TECHNIQUE

EUS-FNA and EUS-FNB for Focal Liver Lesions

EUS for Parenchymal Disease

EUS-Modified Liver Biopsy Sampling

ADVERSE EVENTS

32 EUS-Guided Drainage of Pancreatic Collections and Necrosectomy

IMAGING

INDICATIONS FOR AND TIMING OF ENDOSCOPIC DRAINAGE

CONTRAINDICATIONS

PREPROCEDURAL CONSIDERATIONS

ENDOSCOPIC DRAINAGE

POSTPROCEDURE CARE

ADJUNCTIVE TREATMENT STRATEGIES (IF NEEDED) FOR WALLED-OFF NECROSIS

33 EUS-Guided Biliary Drainage

INDICATIONS

CONTRAINDICATIONS

EQUIPMENT

PREPARATION

PROCEDURES

Rendezvous Technique

Antegrade Stenting

Transmural Drainage

ENDOSCOPIC ULTRASOUND–GUIDED CHOLEDOCHODUODENOSTOMY

ENDOSCOPIC ULTRASOUND–GUIDED HEPATICOGASTROSTOMY

ENDOSCOPIC ULTRASOUND–GUIDED GALLBLADDER DRAINAGE

34 EUS-Guided Pancreatic Duct Drainage

INDICATIONS

Clinical Manifestations

Background Diagnoses

Underlying Pancreatic Duct Anatomy

CONTRAINDICATIONS

Absolute

Relative

PREPARATION

EQUIPMENT AND DEVICES

Equipment

Devices

PROCEDURE

Step 1: Location of Entry Point

Step 2: Puncture and Ductography

Step 3: Initial Guidewire Access

Step 4: Guidewire Manipulation

Step 5A: Puncture Tract Dilation

Step 5B: Guidewire Rendezvous

Step 6: Stent Placement

POSTPROCEDURE

FOLLOW-UP

ADVERSE EVENTS

VII. ENDOSCOPIC THERAPY FOR HEMOSTASIS

35 Injection Therapy for Hemostasis

INDICATIONS

CONTRAINDICATIONS

PREPARATION

EQUIPMENT

PROCEDURE

POSTPROCEDURE

ADVERSE EVENTS

CPT CODES

36 Bipolar Probe, Heater Probe, and Argon Plasma Coagulation

THERMAL THERAPIES—BIPOLAR PROBE AND HEATER PROBE

ARGON PLASMA COAGULATION

INDICATIONS

CONTRAINDICATIONS

PREPARATION

EQUIPMENT

PROCEDURE

Bipolar Probe

Heater Probe

Argon Plasma Coagulation

POSTPROCEDURE

ADVERSE EVENTS

CPT CODES

37 Clips and Loops

INDICATIONS

Endoclips (Fig. 37.1)

Endoloops (Fig. 37.2)

CONTRAINDICATIONS

Endoclips

Endoloops

PREPARATION

EQUIPMENT

PROCEDURE

Endoclips

Endoloops (Fig. 37.3)

POSTPROCEDURE PATIENT OBSERVATION

38 Injection Therapy of Esophageal and Gastric Varices

SCLEROSIS

CYANOACRYLATE INJECTION

SCLEROTHERAPY OF ESOPHAGEAL AND GASTRIC (GOV-1) VARICES

Indications

Contraindications

Preparation

Equipment

Procedure

Postprocedure Care

CYANOACRYLATE OBTURATION OF GASTRIC VARICES

Indications

Contraindications

Preparation

Equipment and Additional Preparation

Procedure

Postprocedure Care

Procedural-Related Complications and Adverse Events

OTHER USES

CPT CODES

ACKNOWLEDGMENT

39 Endoscopic Variceal Ligation

INDICATIONS

CONTRAINDICATIONS

PREPARATION

EQUIPMENT

PROCEDURE

POSTPROCEDURE

ADVERSE EVENTS

CPT CODES

40 Balloon Tamponade

INDICATION

CONTRAINDICATIONS

Absolute

Relative

PREPARATION

EQUIPMENT

PROCEDURE

POSTPROCEDURE

ADVERSE EVENTS

Major

Minor

EFFICACY

VIII. BARIATRIC ENDOSCOPY

Intragastric Balloon Placement for Weight Loss

INDICATIONS

CONTRAINDICATIONS

PREPARATION

Orbera (Single Fluid-Filled Intragastric Balloon) Placement

Orbera Removal

Obalon (Swallowable Gas-Filled Balloon System) Placement

Obalon Removal

EQUIPMENT

Orbera Placement

Orbera Removal

Obalon Placement

Obalon Removal

PROCEDURE

Orbera Placement

Orbera Removal

Obalon Placement

Administration With the EZ Fill Dispenser (Fig. 41.3)

Administration With the Obalon Navigation System (Fig. 41.4) and Touch Dispenser (Fig. 41.5)

Obalon Removal

POSTPROCEDURE

FOLLOW-UP

ADVERSE EVENTS

CPT CODES

42 Endoscopic Suturing

BACKGROUND

APPLICATION

CURRENT DEVICES

SUCTION-BASED DEVICE SUTURING SYSTEM

WORKING OVERTUBE DELIVERING PRELOADED STITCH SUTURING SYSTEM

FLEXIBLE ENDOSCOPIC STAPLING DEVICE SUTURING SYSTEM

DELIVERY OF T-TAGS WITH ATTACHED SUTURES THROUGH A HOLLOW NEEDLE SUTURING SYSTEM

CURVED NEEDLE SUTURING SYSTEM

PREPARATION

EQUIPMENT

PROCEDURE

Tissue Suturing Guide (Fig. 42.1)

Cinching guide (Fig. 42.2)

SUTURE PATTERN

INTERRUPTED/SIMPLE

FIGURE OF 8

RUNNING

ADVERSE EVENTS

CONCLUSION

43 Transoral Outlet Reduction (TORe)

INDICATIONS

CONTRAINDICATIONS

PREPARATION

EQUIPMENT

PROCEDURE

POSTPROCEDURE

FOLLOW-UP

ADVERSE EVENTS

CPT CODES

44 Endoscopic Management of Postsurgical Adverse Events

ANASTOMOTIC ULCERATION

DIAGNOSIS AND ENDOSCOPIC MANAGEMENT

Indications

Contraindications

Preparation

Equipment

Procedure

Postprocedure Care

Adverse Events

ANASTOMOTIC STENOSIS/STRICTURE

Indications

Contraindications

Preparation

Equipment

Procedure

Postprocedure

Adverse Events

POSTSURGICAL LEAKS

SELF-EXPANDABLE METAL STENT PLACEMENT

Indication

Contraindication

Equipment

Preparation

Procedure

Postprocedure

Adverse Events

BILIARY/PANCREATIC PATHOLOGY REQUIRING ERCP IN POSTSURGICAL ANATOMY

Indication

Contraindications

Preparation

Equipment/Procedure

Postprocedure

Adverse Events

IX. ENDOSCOPIC SUBMUCOSAL DISSECTION AND PERORAL ENDOSCOPIC MYOTOMY

45 Esophageal Endoscopic Submucosal Dissection

INDICATIONS

Squamous Cell Carcinoma

Esophageal Adenocarcinoma

CONTRAINDICATIONS

PRE-ESD LESION ASSESSMENT

EQUIPMENT

PROCEDURE

Anesthesia and Airway Protection

Inspection and Marking

Submucosal Injection

Choosing Among ESD Techniques

Tips for Mucosal Incision

Submucosal Dissection

Gravity and Traction

IMMEDIATE ADVERSE EVENTS

POSTPROCEDURAL CARE

PROCEDURAL REIMBURSEMENT

46 Gastric Endoscopic Submucosal Dissection

INDICATIONS

Absolute Indication

Expanded Indication

Relative Indication

Contraindications

PREPARATION

ANESTHESIA AND PATIENT POSITION

EQUIPMENT

Endoscope

Solutions

Distal Attachments

Knives

Hemostasis Forceps

Electrosurgical Unit and Settings

Settings

CO2 Insufflator

PROCEDURE

ADDITIONAL TREATMENT

ADVERSE EVENTS

SUMMARY

47 Colon Endoscopic Submucosal Dissection

INDICATIONS

CONTRAINDICATIONS

EQUIPMENT

PROCEDURAL STEPS

ADVERSE EVENTS

48 Esophageal Peroral Endoscopic Myotomy

INDICATIONS

Absolute Indications

Extended Indications

CONTRAINDICATIONS

PREPARATION

EQUIPMENT

PROCEDURE (ESOPHAGEAL POEM)

POSTPROCEDURE

ADVERSE EVENTS

Intraprocedural

Delayed

Late

49 Gastric Per-Oral Endoscopic Myotomy

INDICATIONS AND PATIENT SELECTION

CONTRAINDICATIONS

Absolute

Relative

PROCEDURE TEAM

PREPARATION

EQUIPMENT

TECHNIQUE

Step 1: Mucosal Incision and Entry into the Tunnel

Step 2: Creation of the Submucosal Tunnel

Step 3: Pyloromyotomy

Step 4: Closure of Mucosal Entry

POSTPROCEDURAL CARE AND FOLLOW-UP

ADVERSE EVENTS

Early Complications

Late Complications

PROCEDURAL OUTCOMES

HELPFUL TIPS

X. PERCUTANEOUS GASTROINTESTINAL-RELATED PROCEDURES

50 Abdominal Paracentesis

INDICATIONS

CONTRAINDICATIONS

PREPARATION OF PATIENT

EQUIPMENT

PROCEDURE

Diagnostic Paracentesis

Therapeutic Paracentesis

ANALYSIS OF FLUID

ADVERSE EVENTS

51 Percutaneous Liver Biopsy

INDICATIONS

CONTRAINDICATIONS

Absolute Contraindications

Relative Contraindications

PREPARATION

EQUIPMENT

PROCEDURE

ADVERSE EVENTS

XI. TESTS OF GASTROINTESTINAL FUNCTION

52 Esophageal Manometry

INDICATIONS

CONTRAINDICATIONS

PREPARATION FOR STUDY

PRIMARY EQUIPMENT

SECONDARY EQUIPMENT

PROCEDURE

Catheter Placement

Baseline and Test Swallows

Optional Provocative Testing

POSTPROCEDURE

ADVERSE EVENTS

CPT CODES

53 Ambulatory 24-Hour Esophageal pH Monitoring

INDICATIONS

CONTRAINDICATIONS

PREPARATION

EQUIPMENT

PROCEDURE

Catheter pH System

Wireless pH System

PATIENT INSTRUCTIONS

POSTPROCEDURE

INTERPRETATION

ADVERSE EVENTS

CPT CODES

54 Small Bowel Motility Testing: Manometry and Scintigraphy

SMALL BOWEL MANOMETRY

Indications

Contraindications

Preparation

Equipment

Procedure

Postprocedure

Interpretation (See Fig. 54.2)

Normal1

Abnormal Patterns

Adverse Events

SMALL BOWEL SCINTIGRAPHY

Indications

Contraindications

Preparation

Equipment

Procedure

Postprocedure

Interpretation

55 Anorectal Manometry and Biofeedback

INDICATIONS

CONTRAINDICATIONS

PREPARATION

EQUIPMENT

PROCEDURE (HIGH-RESOLUTION AND 3D-HIGH-DEFINITION ANORECTAL MANOMETRY)

PROCEDURE (CONVENTIONAL ANORECTAL MANOMETRY)

AUXILIARY TESTS

POSTPROCEDURE

INTERPRETATION

ADVERSE EVENTS

OTHER USES FOR THIS TECHNIQUE

CPT CODES

56 Hydrogen Breath Tests for Diagnosis of Carbohydrate Malabsorption and Small Intestinal Bacterial Overgrowth

CARBOHYDRATE MALABSORPTION

SMALL INTESTINAL BACTERIAL OVERGROWTH

INDICATIONS

Lactose Malabsorption

Small Intestinal Bacterial Overgrowth

TEST PREPARATION

METHODOLOGY

Carbohydrate Malabsorption

Small Intestinal Bacterial Overgrowth Breath Tests

Lactulose Hydrogen Breath Test

Glucose Hydrogen Breath Test

PERFORMANCE OF BREATH TEST BASED ON NORTH AMERICAN GUIDELINES

INTERPRETATION OF BREATH TEST RESULTS

Carbohydrate Malabsorption

Small Intestinal Bacterial Overgrowth

Lactulose Hydrogen breath test

Glucose Hydrogen Breath Test

INTERPRETATION OF BREATH TEST RESULTS BASED ON NORTH AMERICAN GUIDELINES

CONCLUSION

ACKNOWLEDGMENTS

Index

 

An aparitie	17 April 2020
Autor	Todd Huntley Baron
Dimensiuni	11.18 x 3.05 x 20.32 cm
Editura	LWW
Format	Paperback
ISBN	9781975111656
Limba	Engleza
Nr pag	612