Basic Principles
Introduction
Presentation
With Module One, “Basic Principles”, we introduce you to the fundamental tools, techniques and principles underlying surgical endoscopy. The lectures within this module are divided into sections covering Surgical, Medical and Common considerations. This is done to emphasize that students with various backgrounds will take part in this training and allows us to start with a shared understanding of the fundamental principles, tools and practices involved. We begin with the endoscope (its variations, components and accessories) and start to explain the techniques and tricks for technical success.
We briefly explain laparoscopy, recognizing that much surgical endoscopy begins in the operating room and may involve combined approaches. We cover the common topics of pre-operative patient preparation, airway management, anesthesia and post-operative care. Finally, we create the segue to more advanced modules by introducing the principles and techniques for cautery, resection and specimen orientation.
16
lessons
13
speakers
08:01
hours
170
followers
Course directors
Silvana Perretta
Guido Costamagna
Objectives
- Possess a basic technical understanding of endoscopic equipment, platform and accessories.
- Demonstrate the care, cleaning and basic manipulation of upper and lower GI endoscopes.
- Understand the principles and practice of patient preparation, sedation, anesthesia and airway management for surgical endoscopy.
- Know the indications and contraindications for surgical endoscopy interventions.
- Know the basic principles of laparoscopic surgery.
- Understand the principles of cautery, tissue resection and specimen orientation.
- Be able to recognize and manage common complications.
- Understand the management of post-operative care including pain, diet and activity.
Endoscopy - Basic Principles
Reprocessing of flexible endoscopes
During gastrointestinal endoscopy, endoscopes are exposed to millions of bacteria that constitute the gut flora.
17 min
Margherita Pizzicannella
Principles of upper gastrointestinal endoscopy
Upper endoscopy is an exam performed to explore the first parts of the digestive tract up to the second portion of the duodenum. Using a flexible endoscope the operator can perform a gastroscopy to inspect the mucosa, to perform biopsies or many therapeutical interventions on the upper GI tract.
12 min
Margherita Pizzicannella
Diagnostic Esophagogastroduodenoscopy EGD
This module will introduce the learner to the basic principle of performing esophagogastroduodenoscopy (EGD).
Upon completion of the module, the learner will be able to:
27 min
Brian Dunkin
Performance of diagnostic EGD with modified anatomy
This module describes commonly encountered altered anatomy in the upper gastrointestinal tract as seen while performing EGD. It focuses on the proper description and documentation of post surgical anatomy so that it can be clearly related to the patient’s symptoms.
20 min
Brian Dunkin
The endoscopist "on call": dealing with emergency situations
Bleeding and foreign bodies are two conditions that need emergency endoscopy.
18 min
Gianfranco Donatelli
Management of endoscopy complications
Iatrogenic perforations of the GI tract are rare but can occur during diagnostic or interventional endoscopy. Early recognition, localization and evaluation of the severity of injury are mandatory to direct possible endoscopic treatment.
22 min
Gianfranco Donatelli
PEG after 30 years
Percutaneous Endoscopic Gastrostomy was first performed in 1979 and appeared first in the literature in 1980. Since that time the technique has become the standard for performance of feeding gastrostomy.
37 min
Jeffrey L Ponsky
Principles of electrosurgery
An electrosurgery generator unit is a critical piece of equipment in any therapeutic endoscopy setting. Education and acquaintance with these devices are the primary avenue to the safest and most effective clinical outcomes.
23 min
Ivo Boškoski
Bowel preparation
Poor bowel preparation at colonoscopy may be associated with incomplete colonic examinations, inadequate mucosal visualization, missed lesions, prolonged procedure time, and increased complications. High quality colonoscopy needs a good bowel preparation.
10 min
Margherita Pizzicannella
Laparoscopy - Basic Principles
Laparoscopic surgery - Basic principles - Part 1
The introduction of laparoscopy and minimally invasive surgery for the diseases of the gastrointestinal tract resulted in a major change in the operating room setting and surgeons’ working environment.
34 min
Bernard Dallemagne
Laparoscopic surgery - Basic principles - Part 2
The introduction of laparoscopy and minimally invasive surgery for the diseases of the gastrointestinal tract resulted in a major change in the operating room setting and surgeons’ working environment.
28 min
Bernard Dallemagne
Techniques for dissection and haemostasis
Technological advances have produced progressively smaller laparoscopic instruments and higher quality imaging, allowing laparoscopic surgeons to perform precise dissection with excellent control of bleeding and of vascular structures.
32 min
Didier Mutter
General Considerations
Pathological specimen handling endoscopic surgery
Digestive pathology represents an essential part of the activity of most pathologists. Over the past decade, developments and advances have changed the endoscopic technique approach for digestive pathologies.
20 min
Véronique Lindner
Radiation and radiation protection
The utilization of radiology equipment has become an integral part of the modern medical practice. Apart from diagnostic imaging, recent year have seen ongoing development and adoption of image guided therapeutic techniques.
32 min
Rebecca Zener