Preface to the Sixth Edition.
Acknowledgments.

1 The Endoscopy Unit and Staff.

Staff.

Facilities.

Management and behavior.

Documentation.

Educational resources.

2 Endoscopic Equipment.

Endoscopes.

Endoscopic accessories.

Ancillary equipment.

Electrosurgical units.

Lasers and argon plasma coagulation.

Equipment maintenance.

Infection control.

Cleaning and disinfection.

3 Patient Care, Risks, and Safety.

Patient assessment.

Patient education and consent.

Physical preparation.

Monitoring.

Medications and sedation practice.

Recovery and discharge.

Managing an adverse event.

4 Upper Endoscopy: Diagnostic Techniques.

Patient position.

Endoscope handling.

Passing the endoscope.

Routine diagnostic survey.

Problems during endoscopy.

Recognition of lesions.

Specimen collection.

Diagnostic endoscopy under special circumstances.

5 Therapeutic Upper Endoscopy.

Benign esophageal strictures.

Achalasia.

Esophageal cancer palliation.

Gastric and duodenal stenoses.

Gastric and duodenal polyps and tumors.

Foreign bodies.

Acute bleeding.

Enteral nutrition.

6 Colonoscopy and Flexible Sigmoidoscopy.

History.

Indications and limitations.

Informed consent.

Contraindications and infective hazards.

Patient preparation.

Medication.

Equipment—present and future.

Anatomy.

Insertion.

Handling—“single-handed,” “two-handed,” or twoperson?.

Sigmoidoscopy—accurate steering.

Endoscopic anatomy of the sigmoid and descending.

colon.

Sigmoidoscopy—the bends.

Sigmoidoscopy—the loops.

Diverticular disease.

Descending colon.

Splenic flexure.

Transverse colon.

Hepatic flexure.

Ascending colon and ileo-cecal region.

Examination of the colon.

Stomas.

Pediatric colonoscopy.

Per-operative colonoscopy.

7 Therapeutic Colonoscopy.

Equipment.

Polypectomy.

Other therapeutic procedures.

8 Resources and Links.

Web sites.

Endoscopy books.

Journals with major endoscopy/clinical focus.

Index