Preface to the Sixth Edition, vii
Acknowledgments, ix
1 The Endoscopy Unit and Staff, 1
Staff, 1
Facilities, 1
Management and behavior, 3
Documentation, 4
Educational resources, 5
2 Endoscopic Equipment, 7
Endoscopes, 7
Endoscopic accessories, 11
Ancillary equipment, 12
Electrosurgical units, 12
Lasers and argon plasma coagulation, 13
Equipment maintenance, 14
Infection control, 15
Cleaning and disinfection, 16
3 Patient Care, Risks, and Safety, 22
Patient assessment, 22
Patient education and consent, 26
Physical preparation, 31
Monitoring, 31
Medications and sedation practice, 32
Recovery and discharge, 34
Managing an adverse event, 35
4 Upper Endoscopy: Diagnostic Techniques, 37
Patient position, 37
Endoscope handling, 38
Passing the endoscope, 39
Routine diagnostic survey, 42
Problems during endoscopy, 49
Recognition of lesions, 50
Specimen collection, 55
Diagnostic endoscopy under special circumstances, 58
5 Therapeutic Upper Endoscopy, 61
Benign esophageal strictures, 61
Achalasia, 65
Esophageal cancer palliation, 66
Gastric and duodenal stenoses, 70
Gastric and duodenal polyps and tumors, 70
Foreign bodies, 70
Acute bleeding, 74
Enteral nutrition, 80
6 Colonoscopy and Flexible Sigmoidoscopy, 87
History, 87
Indications and limitations, 88
Informed consent, 93
Contraindications and infective hazards, 94
Patient preparation, 95
Medication, 105
Equipment--present and future, 111
Anatomy, 116
Insertion, 120
Handling--"single-handed," "two-handed," or twoperson?,123
Sigmoidoscopy--accurate steering, 128
Endoscopic anatomy of the sigmoid and descending colon, 131
Sigmoidoscopy--the bends, 133
Sigmoidoscopy--the loops, 134
Diverticular disease, 143
Descending colon, 144
Splenic flexure, 145
Transverse colon, 152
Hepatic flexure, 155
Ascending colon and ileo-cecal region, 158
Examination of the colon, 164
Stomas, 172
Pediatric colonoscopy, 172
Per-operative colonoscopy, 173
7 Therapeutic Colonoscopy, 176
Equipment, 176
Polypectomy, 182
Other therapeutic procedures, 202
8 Resources and Links, 208
Web sites, 208
Endoscopy books, 208
Journals with major endoscopy/clinical focus, 209
Index, 211
