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DM GI Special Study

GI Special Studies

QuestionAnswer
Endoscopy benefit both diagnostic and therapeutic
Risks of GI endoscopy perforation, bleeding, infection,cardiopulmonary complications secondary to sedation,death
upper endoscopy (gastroscope); allows visualization of esophagus, stomach and duodenum Esophagogastroduodenoscopy (EGD)
examines descending colon, sigmoid colon and rectum Flexible sigmoidoscopy
Visualization of entire colon Colonoscopy
“push” endoscopy of small bowel Enteroscopy
combines endoscopy and radiography to image pancreatic and biliary ducts Endoscopic retrograde cholangiopancreatography (ERCP)
video capsule endoscopy esophagus, small bowel visualization
___ allows transluminal imaging endoscopic ultrasound
____ is very useful for patients with inflammatory diarrhea who need view of distal colon only. It has limited use now. Flex Sigmoidoscopy
allows visualization of entire colon and portion of terminal ileum Colonoscopy. Patients are out for this procedure.
Prior to colonoscopy... requires extensive bowel preparation + liquid diet for 24 hours prior to procedure
now regarded as study of choice for staging of rectal, esophageal and gastric tumors and identification of pancreatic tumors Endoscopic Ultrasound (EUS)
If suspicious of crohn's, but didn't see anything on endoscopy, go to PILL CAM SB
gold standard for visualizing small bowel Video capsule endoscopy
When should VCE's be avoided? avoid in patients with GI distress, fistulas, pregnancy or swallowing disorders. this is not biodegradable, and if it is not passed, it needs to be retrieved!
Virtual colonoscopy refers to CT or MRI colonoscopy. 2D. Still requires bowel prep. In MRI, patients aren't exposed to ionizing radiation. Unable to detect lesions <5mm
Gold standard evaluation of liver disease liver biopsy. Ex: standard of care in patients with hep. C. helps you stage and treat appropriately.
Most favored way to obtain liver biopsy percutaneous. Want specimen to be a portal triad (vein, nerve and artery). Specimen size 1.5cm long and 2mm wide
Indications for Liver Biopsy evaluation of abnormal LFTs, suspected neoplasm, confirmation of diagnosis(hep. c, primary biliary cirrhosis, alcoholic cirrhosis, non-alcoholic fatty liver dsz(NASH)). evaluate granulomatous dz, unexplained jaundice or drug rxn. Manage post transplant
Created by: ltm12
 

 



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