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Introduction to Starting Upper Gastrointestinal Endoscopy: Proper Insertion, Complete Observation, and Appropriate Photographing.

Park KS - Clin Endosc (2015)

Bottom Line: Mastering the basics of endoscopy is very important because when this process is imprecise or performed incorrectly, it can severely affect a patient's health or life.Although there are several guidelines and studies that consider these basics, there are still no standard recommendations for endoscopy in Korea.In this review, basic points, including proper endoscope insertion, precise observation without blind spots, and appropriate photographing, for upper gastrointestinal endoscopy will be discussed.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.

ABSTRACT
Diagnostic upper gastrointestinal endoscopy is the most basic of endoscopy procedures and is the technique that trainee doctors first learn. Mastering the basics of endoscopy is very important because when this process is imprecise or performed incorrectly, it can severely affect a patient's health or life. Although there are several guidelines and studies that consider these basics, there are still no standard recommendations for endoscopy in Korea. In this review, basic points, including proper endoscope insertion, precise observation without blind spots, and appropriate photographing, for upper gastrointestinal endoscopy will be discussed.

No MeSH data available.


Related in: MedlinePlus

Duodenal bulb. (A) The anterior wall and the lesser curvature can be observed simultaneously in the 8 and 11 o'clock positions, respectively. (B) As the left arm is rotated clockwise, the posterior wall and greater curvature are observed simultaneously in the 2 and 5 o'clock positions.
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Figure 5: Duodenal bulb. (A) The anterior wall and the lesser curvature can be observed simultaneously in the 8 and 11 o'clock positions, respectively. (B) As the left arm is rotated clockwise, the posterior wall and greater curvature are observed simultaneously in the 2 and 5 o'clock positions.

Mentions: Although the order of observations may differ depending on the operator, it is important to consistently and precisely observe all regions without missing any points. Many endoscopists, including myself, first observe the duodenum and then precisely observe the stomach while withdrawing the endoscope. As soon as the endoscope passes through the pylorus, the duodenal bulb is observed, with the anterior wall and the lesser curvature observed simultaneously in the 8 and 11 o'clock positions, respectively. As the left arm is rotated clockwise, the posterior wall and greater curvature are observed simultaneously in the 2 and 5 o'clock positions (Fig. 5). The rotation of the left arm in a clockwise direction rotates the endoscope toward the posterior wall to enable easier observation of the posterior wall in both the stomach and the duodenum. The passage connecting to the second portion of the duodenum is located in the 3 to 4 o'clock position, and the second portion of the duodenum can be entered by placement of the tip of the endoscope in this part, upward deflection while pushing gently, and turning the left arm clockwise. In the second portion of the duodenum, after observation of the ampulla, which usually appears at the 9 o'clock position, the endoscope is removed through reversal of the insertion process, which allows re-visualization of the duodenum.


Introduction to Starting Upper Gastrointestinal Endoscopy: Proper Insertion, Complete Observation, and Appropriate Photographing.

Park KS - Clin Endosc (2015)

Duodenal bulb. (A) The anterior wall and the lesser curvature can be observed simultaneously in the 8 and 11 o'clock positions, respectively. (B) As the left arm is rotated clockwise, the posterior wall and greater curvature are observed simultaneously in the 2 and 5 o'clock positions.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4522417&req=5

Figure 5: Duodenal bulb. (A) The anterior wall and the lesser curvature can be observed simultaneously in the 8 and 11 o'clock positions, respectively. (B) As the left arm is rotated clockwise, the posterior wall and greater curvature are observed simultaneously in the 2 and 5 o'clock positions.
Mentions: Although the order of observations may differ depending on the operator, it is important to consistently and precisely observe all regions without missing any points. Many endoscopists, including myself, first observe the duodenum and then precisely observe the stomach while withdrawing the endoscope. As soon as the endoscope passes through the pylorus, the duodenal bulb is observed, with the anterior wall and the lesser curvature observed simultaneously in the 8 and 11 o'clock positions, respectively. As the left arm is rotated clockwise, the posterior wall and greater curvature are observed simultaneously in the 2 and 5 o'clock positions (Fig. 5). The rotation of the left arm in a clockwise direction rotates the endoscope toward the posterior wall to enable easier observation of the posterior wall in both the stomach and the duodenum. The passage connecting to the second portion of the duodenum is located in the 3 to 4 o'clock position, and the second portion of the duodenum can be entered by placement of the tip of the endoscope in this part, upward deflection while pushing gently, and turning the left arm clockwise. In the second portion of the duodenum, after observation of the ampulla, which usually appears at the 9 o'clock position, the endoscope is removed through reversal of the insertion process, which allows re-visualization of the duodenum.

Bottom Line: Mastering the basics of endoscopy is very important because when this process is imprecise or performed incorrectly, it can severely affect a patient's health or life.Although there are several guidelines and studies that consider these basics, there are still no standard recommendations for endoscopy in Korea.In this review, basic points, including proper endoscope insertion, precise observation without blind spots, and appropriate photographing, for upper gastrointestinal endoscopy will be discussed.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.

ABSTRACT
Diagnostic upper gastrointestinal endoscopy is the most basic of endoscopy procedures and is the technique that trainee doctors first learn. Mastering the basics of endoscopy is very important because when this process is imprecise or performed incorrectly, it can severely affect a patient's health or life. Although there are several guidelines and studies that consider these basics, there are still no standard recommendations for endoscopy in Korea. In this review, basic points, including proper endoscope insertion, precise observation without blind spots, and appropriate photographing, for upper gastrointestinal endoscopy will be discussed.

No MeSH data available.


Related in: MedlinePlus