Colonoscopy




Indications



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  • • Chronic diarrhea.


    • Lower gastrointestinal bleeding.


    • Abdominal pain.


    • Evaluation of radiographic abnormalities.




    • • Ulcerations.


      • Filling defects.


      • Strictures.


    • Initial diagnosis and follow-up evaluation of inflammatory bowel disease.


    • Removal of foreign bodies.


    • Dilatation of colonic strictures.


    • Diagnosis and removal of polyps.


    • Histopathologic evaluation of pinhead-sized biopsy specimens.





Contraindications



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Absolute





  • • Cardiorespiratory collapse.


    • Hemodynamically unstable patient.


    • Unstable airway.


    • Intestinal perforation.


    • Peritonitis.


    • Cervical spine trauma.


    • Toxic, fulminant colitis.





Relative





  • • Coagulopathy (prothrombin time > 18 sec).


    • Thrombocytopenia (platelet count < 100,000/μL).


    • Intestinal tract surgery within previous month.


    • Food intake within previous 6 hours.


    • Bowel obstruction.





Equipment



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  • • Fiberoptic or video endoscopes.


    • Biopsy forceps.


    • Snares.


    • Nets and baskets.


    • Heater probes.


    • Electrocautery probes and snares.


    • Balloon-dilation devices.





Risks



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  • • Anesthesia complications.


    • Bleeding.


    • Perforation.





Pearls and Tips



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  • • Biopsies are required because characteristics of many disorders may only be detectable under the microscope.



Jan 4, 2019 | Posted by in PEDIATRICS | Comments Off on Colonoscopy

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