Skip to main content

Fundamentals of Flexible Endoscopy for General Surgeons

  • 2187 Accesses

Abstract

The techniques, equipment, and numerous important clinical refinements in flexible endoscopy throughout history have been influenced largely by surgeons seeking less invasive alternatives for their patients. From the beginning, when rigid metal tubes were used to inspect the most proximal and distal ends of the gastrointestinal tract using external light reflected by head-mounted mirrors, surgeon-innovators have advanced the field of endoscopy and have contributed to many parallel advancements in related medical and surgical fields. The advent, and subsequent refinement of flexible endoscopes, has provided a platform upon which increasingly less invasive diagnostic and therapeutic approaches have been developed and never before possible procedures performed. During recent decades, flexible endoscopy has regained its position of prominence in the surgical armamentarium and once again is recognized as an essential component of surgical practice and, now, is required as part of the board certification process for surgical graduates. Flexible endoscopy accounts for a significant volume of procedures performed by general surgeons across diverse practice settings. This important set of skills will remain central to the practice of general surgery well into the foreseeable future.

Keywords

  • Endoscopy
  • EGD
  • Gastroscopy
  • Colonoscopy
  • PEG
  • ERCP
  • EUS
  • Surgical endoscopy

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-319-75656-1_12
  • Chapter length: 11 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   119.00
Price excludes VAT (USA)
  • ISBN: 978-3-319-75656-1
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   159.99
Price excludes VAT (USA)
Hardcover Book
USD   219.99
Price excludes VAT (USA)
Fig. 12.1
Fig. 12.2
Fig. 12.3
Fig. 12.4
Fig. 12.5

Recommended Reading

  • Zetka JR Jr. Surgeons and the scope. Ithaca: ILR Press; 2003.

    Google Scholar 

  • Marks JM, Dunkin BJ. Principles of flexible endoscopy for surgeons. New York: Springer; 2013.

    CrossRef  Google Scholar 

  • Ponsky JL. Atlas of surgical endoscopy. St. Louis: Mosby Year Book; 1992.

    Google Scholar 

References

  1. Gauderer MW, Ponsky JL, Izant RJ Jr. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg. 1980;15(6):872–5.

    CrossRef  CAS  Google Scholar 

  2. McCune WS, Shorb PE, Moscovitz H. Endoscopic cannulation of the ampulla of vater: a preliminary report. Ann Surg. 1968;167(5):752–6.

    CrossRef  CAS  PubMed  PubMed Central  Google Scholar 

  3. Lucas CE, Sugawa C. Diagnostic endoscopy during laparotomy for acute hemorrhage from the upper part of the gastrointestinal tract. Surg Gynecol Obstet. 1972;135(2):285–6.

    PubMed  CAS  Google Scholar 

  4. Dudley HA, St John DB, Yeomans ND. Early endoscopy in haematemesis and melaena. Br Med J. 1973;2(5869):772–3.

    CrossRef  CAS  PubMed  PubMed Central  Google Scholar 

  5. Poulose BK, Vassiliou MC, Dunkin BJ, Mellinger JD, Fanelli RD, Martinez JM, et al. Fundamentals of endoscopic surgery cognitive examination: development and validity evidence. Surg Endosc. 2014;28(2):631–8.

    CrossRef  PubMed  Google Scholar 

  6. Hazey JW, Marks JM, Mellinger JD, Trus TL, Chand B, Delaney CP, et al. Why fundamentals of endoscopic surgery (FES)? Surg Endosc. 2014;28(3):701–3.

    CrossRef  PubMed  Google Scholar 

  7. Pearl J, Fellinger E, Dunkin B, Pauli E, Trus T, Marks J, et al. Guidelines for privileging and credentialing physicians in gastrointestinal endoscopy. Surg Endosc. 2016;30(8):3184–90.

    CrossRef  PubMed  Google Scholar 

  8. Fanelli RD. Intraoperative endoscopy: an important adjunct to gastrointestinal surgery. Tech Gastrointest Endosc. 2013;15(4):184–90.

    CrossRef  Google Scholar 

  9. Heneghan SJ, Bordley JT, Dietz PA, Gold MS, Jenkins PL, Zuckerman RJ. Comparison of urban and rural general surgeons: motivations for practice location, practice patterns, and education requirements. J Am Coll Surg. 2005;201(5):732–6.

    CrossRef  PubMed  Google Scholar 

  10. Kocher R, Sahni NR. Rethinking health care labor. N Engl J Med. 2011;365(15):1370–2.

    CrossRef  CAS  PubMed  Google Scholar 

  11. Fanelli RD, Andrew BD. Is endoluminal bariatric therapy a new paradigm of treatment for obesity? Clin Gastroenterol Hepatol. 2016;14(4):507–15.

    CrossRef  PubMed  Google Scholar 

  12. Fleming CA, Khan Z, Andrews EJ, Fulton GJ, Redmond HP, Corrigan MA. “Is general surgery still relevant to the subspecialised trainee?” a 10 year comparison of general versus specialty surgical practice. World J Surg. 2015;39(2):297–302.

    CrossRef  CAS  PubMed  Google Scholar 

  13. Committee ASoP, Early DS, Ben-Menachem T, Decker GA, Evans JA, Fanelli RD, et al. Appropriate use of GI endoscopy. Gastrointest Endosc. 2012;75(6):1127–31.

    CrossRef  Google Scholar 

  14. Sanaka MR, Parsi MA, Burke CA, Barnes D, Church J, Rizk M, et al. Adenoma detection at colonoscopy by polypectomy in withdrawal only versus both insertion and withdrawal: a randomized controlled trial. Surg Endosc. 2015;29(3):692–9.

    CrossRef  PubMed  Google Scholar 

  15. Rees CJ, Rajasekhar PT, Wilson A, Close H, Rutter MD, Saunders BP, et al. Narrow band imaging optical diagnosis of small colorectal polyps in routine clinical practice: the detect inspect characterise resect and DISCARD 2 (DISCARD 2) study. Gut. 2017;66(5):887–95.

    CrossRef  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Verify currency and authenticity via CrossMark

Cite this chapter

Fanelli, R.D. (2018). Fundamentals of Flexible Endoscopy for General Surgeons. In: Palazzo, F. (eds) Fundamentals of General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-75656-1_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-75656-1_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-75655-4

  • Online ISBN: 978-3-319-75656-1

  • eBook Packages: MedicineMedicine (R0)