بایگانی برچسب برای: Colonoscopy

Practice.and.Principles.in.Therapeutic.Colonoscopy.[taliem.ir]

Practice and Principles in Therapeutic Colonoscopy

Certain prerequisites should be met before the procedure for a successful and safe therapeutic colonoscopies . First, in terms of patients, suffcient explanation and gaining informed consents in essential. In addition, the patient’s concurrent medication and general health condition should be checked. Furthermore, proper sedative and bowel-cleansing agents should be carefully selected for each individual patient (Table 1.1). Second, a colonoscopist should be profcient in therapeutic colonoscopic procedures and well trained assistant including nurses are necessary. Third, the proper systems and instruments including supplies for emergencies should be prepared.
Advanced Colonoscopy and Endoluminal Surgery[taliem.ir]

Advanced Colonoscopy and Endoluminal Surgery

Philipp Bozzini is considered by many the father of endoscopy. Born in Mainz, Germany, in 1773, Bozzini’s goal was to examine the inner cavities of the human body in designing the Lichtleiter, or “light conductor.” He recognized the importance of direct observation in the ability to understand the physiology and function of human organs . With his design, he also foresaw the ability to perform new procedures and to make existing procedures safer by allowing, for instance, the removal of rectal polyps or cervical tumors to be done under direct visualization rather than to depend on luck. The original Lichtleiter consisted of a vase-shaped lantern made of tin and covered with leather . Within this housed the light source, a wax candle, on a spring device designed to keep the flame at a constant height. A concave mirror was placed to project light through an aperture, onto which various tubular specula could be attached. The mirror directed light toward the hollow organ and avoided reflection toward the observer’s eye . On the opposite side was another fenestration onto which an eyepiece was attached for the observer . The tubular specula were made of brass or silver and modifed based of the organ they were meant for: urethra, vagina, rectum, and so on . His conductors were straight to avoid deviating from the straight lines on which light rays travel. In order to observe objects at an angle, for instance behind the nasopharynx, he used a mirror to bend the light. He did note, however, that bending the light compromised the clarity of the image