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Principles of Flexible Endoscopy for Surgeons pp 191–199Cite as

Techniques and Tips for Lower Endoscopy

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Abstract

Colonoscopy has become the method of choice for visualization of the entire colonic mucosa and distal small bowel. The indications for colonoscopy include screening and surveillance as well as for the diagnosis and treatment of many colonic disorders. The majority of colonoscopies are performed for screening or surveillance of colorectal cancer, which occurs in approximately 140,000 cases per year in the USA. Screening endoscopy with polypectomy has lead to a decreased colorectal cancer incidence over the years along with decreased mortality.

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References

  1. Nguyen VX, Nguyen VTL, Nguyen CC. Appropriate use of endoscopy in the diagnosis and treatment of gastrointestinal diseases: up-to-date indications for primary care physicians. Int J Intern Med. 2010;3:345–57.

    Google Scholar 

  2. National Cancer Instutite. http://www.cancer.gov/cancertopics/types/colon-and-rectal

    Google Scholar 

  3. Gollub MJ, Schwartz LH, Akhurst T. Update on Colorectal Cancer Imaging. Radiol Clin North Am. 2007;45:85–118.

    Article  PubMed  Google Scholar 

  4. Winawer SJ, Zauber AG, Ho MN, et al. Prevention of colorectal cancer by colonoscopic polypectomy: The National Polyp Study Workgroup. N Engl J Med. 1993;329:1977–81.

    Article  PubMed  CAS  Google Scholar 

  5. Levin B, Lieberman DA, McFarland B, Andrews KS, et al. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American cancer society, the US multi-society task force on colorectal cancer, and the American college of radiology. Gastroenterology. 2008;134:1570–95.

    Article  PubMed  CAS  Google Scholar 

  6. Rex DK, Kahi CJ, Levin B, Smith RA, et al. Guidelines for colonoscopy surveillance after cancer resection: a consensus update by the American cancer society and the US multi-society task force on colorectal cancer. Gastroenterology. 2006;130:1865–71.

    Article  PubMed  Google Scholar 

  7. Cotton PB, Williams CB. Practical gastrointestinal endoscopy. 6th ed. Oxford: Blackwell Publishing Ltd; 2008. p. 87–207.

    Book  Google Scholar 

  8. Winawer S, Fletcher R, Rex D, et al. Colorectal cancer screening and surveillance: clinical guidelines and rationale—update based on new evidence. Gastroenterology. 2003;124:544–60.

    Article  PubMed  Google Scholar 

  9. Winawer SJ, Zauber AG, Fletcher RH, et al. Guidelines for colonoscopy surveillance after polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer and American Cancer Society. Gastroenterology. 2006;130:1872–85.

    Article  PubMed  Google Scholar 

  10. Waye JD, Rex DK, Williams CB. Colonoscopy: principles and practice. 2nd ed. Oxford: Blackwell Publishing; 2009.

    Book  Google Scholar 

  11. Scholefield JH, Moss S, Sufi F, Mangham CM, Hardcastle JD. Effect of faecal occult blood screening on mortality from colorectal cancer: results from a randomized controlled trial. Gut. 2002;50:840–4.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  12. Gray H. Anatomy of the human body. Philadelphia: Lea & Febiger; 1918. Bartleby.com, 2000. www.bartleby.com/107/.

  13. Skandalakis JE, Colborn GL, Weidman TA et al. Skandalakis’ surgical anatomy: http://www.accesssurgery.com.

    Google Scholar 

  14. Sivak MV, editor. Gastroenterologic endoscopy. 2nd ed. Philadelphia, PA: WB Saunders; 2000.

    Google Scholar 

  15. Cappell MS. Reducing the incidence and mortality of colon cancer: mass screening and colonoscopic polypectomy. Gastroenterol Clin North Am. 2008;37:129–60.

    Article  PubMed  Google Scholar 

  16. Ginsberg GG, Kochman ML, Norton I, Gostout CJ. Clinical gastrointestinal endoscopy. Philadelphia, PA: Elsevier Inc.; 2005.

    Google Scholar 

  17. Cappell MS, Friedel D. The role of sigmoidoscopy and colonoscopy in the diagnosis and management of lower gastrointestinal disorders: endoscopic findings, therapy and complications. Med Clin North Am. 2002;86:1253–88.

    Article  PubMed  Google Scholar 

  18. Tolliver KA, Rex DK. Colonoscopic polypectomy. Gastroenterol Clin North Am. 2008;37:229–51.

    Article  PubMed  Google Scholar 

  19. Cappell MS. From colonic polyps to colon cancer: pathophysiology, clinical presentation, and diagnosis. Clin Lab Med. 2005;25:135–77.

    Article  PubMed  Google Scholar 

  20. Ishiguro A, Uno Y, Ischiguro Y, et al. Correlation of lifting versus nonlifting and microscopic depth of invasion in early colorectal cancer. Gastrointest Endosc. 1999;50:329–33.

    Article  PubMed  CAS  Google Scholar 

  21. Hasegawa K, Lee W, Noguchi T, Yaguchi T, Sasaki H, Nagasako K. Colonoscopic Removal of Hemangiomas. Dis Colon Rectum. 1981;24(2):85–9.

    Article  PubMed  CAS  Google Scholar 

  22. Beck DE. Bowel preparation for colonoscopy. Clin Colon Rectal Surg. 2010;23:10–3.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Wexner SD, Beck DE, Baron TH, Fanelli RD, Hyman N, Shen B, et al. A consensus document on bowel preparation before colonoscopy: prepared by a task force from the American Society of Colon and Rectal Surgeons (ASCRS), the American Society for Gastrointestinal Endoscopy (ASGE), and the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES). Dis Colon Rectum. 2006;49:792–809.

    Article  PubMed  Google Scholar 

  24. Fyock CJ, Draganov PV. Colonoscopic polypectomy and associated techniques. World J Gastroenterol. 2010;16(29):3630–7.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Nishiyama H, Isomoto H, Yamaguchi N, Fukuda A, Ikeda K, Ohnita K, et al. Endoscopic Submucosal Dissection for Colorectal Epithelial Neoplasms. Dis Colon Rectum. 2010;53:161–8.

    Article  PubMed  Google Scholar 

  26. Kantsevoy SV, Adler DG, Conway JD, Diehl DL, Farraye FA, Kwon R, et al. Endoscopic mucosal resection and endoscopic submucosal dissection. Gastrointest Endosc. 2008;68:11–8.

    Article  PubMed  Google Scholar 

  27. Tajika M, Niwa Y, Bhatia V, Kondo S, Tanaka T, Mizuno N, et al. Comparison of endoscopic submucosal dissection and endoscopic mucosal resection for large colorectal tumors. Eur J Gastroenterol Hepatol. 2011;23(11):1042–9.

    PubMed  Google Scholar 

  28. Church JM. Experience in the endoscopic management of large colonic polyps. ANZ J Surg. 2003;73:988–95.

    Article  PubMed  Google Scholar 

  29. Lindsetmo R, Joh Y, Delaney CP. Surgical treatment for rectal cancer: an international perspective on what the medical gastroenterologist needs to know. World J Gastroenterol. 2008;14(21):3281–9.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Saclarides TJ. Transanal endoscopic microsurgery: a single surgeon’s experience. Arch Surg. 1998;133:595–9.

    PubMed  CAS  Google Scholar 

  31. Cataldo PA, O’Brien S, Osler T. Transanal endoscopic microsurgery: a prospective evaluation of functional results. Dis Colon Rectum. 2005;48:1366–71.

    Article  PubMed  Google Scholar 

  32. Selby JV, Friedman GD, Queendberry Jr CP, et al. A case–control study of screening sigmoidoscopy and mortality from colorectal cancer. N Engl J Med. 1992;326:653–7.

    Article  PubMed  CAS  Google Scholar 

  33. Marks G, Borenstein BD. Complications of flexible fiberoptic sigmoidoscopy. A conceptual approach. Surg Endosc. 1987;1:59–62.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Colorectal Surgery, University Hospitals Case Medical Center, Cleveland, OH, 44106-5047, USA

    Joanne Favuzza D.O. & Conor Delaney M.D., Ph.D.

Authors
  1. Joanne Favuzza D.O.
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  2. Conor Delaney M.D., Ph.D.
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Corresponding author

Correspondence to Conor Delaney M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Department of Surgery, University Hospitals Case Medical Center, Cleveland, Ohio, USA

    Jeffrey M. Marks

  2. The Methodist Hospital, Methodist Institute for Technology, Innovation and Education, Houston, Texas, USA

    Brian J. Dunkin

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Favuzza, J., Delaney, C. (2013). Techniques and Tips for Lower Endoscopy. In: Marks, J., Dunkin, B. (eds) Principles of Flexible Endoscopy for Surgeons. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6330-6_17

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  • DOI: https://doi.org/10.1007/978-1-4614-6330-6_17

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-6329-0

  • Online ISBN: 978-1-4614-6330-6

  • eBook Packages: MedicineMedicine (R0)

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