Transcript
Page 1: Colonoscopy with polypectomy

Colonoscopy with polypectomy

(CWP)Patricio Ancheta & Alfredo DeGuzman

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Presentation Outline

• Medical terminologies• Indications of CWP• Anatomy of the Large Intestine• Procedure of CWP• Reprocessing of Colonoscope

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COLONOSCOPY

• Root - colon/o• Meaning – colon (refers to the

largest portion of the large intestine)• Suffix – scopy (means process of

visual examination)

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Colonoscopy is the visual examination of the colon using an endoscope

The Examiner: Colonoscopist

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POLYPECTOMY• Root – polyp –

refers to the benign growth protruding from the mucous membrane of the colon).

• Suffix – ectomy • Meaning -excision,

removal, resectionPolypectomy means the

resection/excision of polyp.

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Colonoscopy with polypectomy

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Anatomy

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Medical Indications

• Polyps identified at colonoscopy cause no harm to the client but it’s behaviour is unpredictable and may possibly lead to slow progressive bowel cancer.

• Therefore, it is advisable to remove it during colonoscopy.

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ProcedureThe night before, the patient is given laxative to remove yuckies.

Before the procedure,the patient is informedabout CWP.

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Colonoscopy Procedure

Undignified dignified

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Procedure

Once inside the rectum, the examiner uses the image projected on the screen to guide his/her way inside the colon.

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Once a polyp has been spotted, a wire snare is passed through the endoscope and looped around the stalk and removed.

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Reprocessing of FE

Immediately after the procedure, wiped clean using water and enzymatic solution.

Insert scope in suction valve to aspirate enzymatic solution and work through it.

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Perform Leak Test

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Manual Cleaning & Rinsing

• Disassembled parts as far as practicable.

• Meticulously clean and brush, etc.

• Flush-rinse after this process.

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Drying and LTS

• Drying following cleaning.

• Chemical Disinfection or Low Temperature Sterilisation

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Storage

• Specialised cabinet• Packed aseptically

for quick dispatch.

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Thank you. For Questions, Ask Alfredo?


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