_1_pre.qxd 22/01/ :32 AM Page i ADVANCED DIGESTIVE ENDOSCOPY: PRACTICE AND SAFETY

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1 _1_pre.qxd 22/01/ :32 AM Page i ADVANCED DIGESTIVE ENDOSCOPY: PRACTICE AND SAFETY

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3 _1_pre.qxd 22/01/ :32 AM Page iii ADVANCED DIGESTIVE ENDOSCOPY: PRACTICE AND SAFETY EDITED BY PETER B. COTTON

4 _1_pre.qxd 22/01/ :32 AM Page iv 2008 by Blackwell Publishing Blackwell Publishing, Inc., 350 Main Street, Malden, Massachusetts , USA Blackwell Publishing Ltd, 9600 Garsington Road, Oxford OX4 2DQ, UK Blackwell Publishing Asia Pty Ltd, 550 Swanston Street, Carlton, Victoria 3053, Australia The right of the Author to be identified as the Author of this Work has been asserted in accordance with the Copyright, Designs and Patents Act All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. First published Library of Congress Cataloging-in-Publication Data Advanced digestive endoscopy : practice and safety / edited by Peter B. Cotton. p. ; cm. (Advanced digestive endoscopy) Includes bibliographical references and index. ISBN (alk. paper) 1. Endoscopy. 2. Digestive organs Diseases Diagnosis. I. Cotton, Peter B. II. Series. [DNLM: 1. Endoscopy, Digestive System methods. 2. Digestive System Diseases diagnosis. 3. Endoscopy, Digestive System standards. WI 141 A ] RC804.E6A dc ISBN: A catalogue record for this title is available from the British Library Set in 10/13.5 Sabon by Graphicraft Limited, Hong Kong Printed and bound in Singapore by COS Printers Pte Ltd For further information on Blackwell Publishing, visit our website: The publisher s policy is to use permanent paper from mills that operate a sustainable forestry policy, and which has been manufactured from pulp processed using acid-free and elementary chlorine-free practices. Furthermore, the publisher ensures that the text paper and cover board used have met acceptable environmental accreditation standards. Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The Publisher is not associated with any product or vendor mentioned in this book. The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting a specific method, diagnosis, or treatment by physicians for any particular patient. The publisher and the author make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of fitness for a particular purpose. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. Readers should consult with a specialist where appropriate. The fact that an organization or Website is referred to in this work as a citation and/or a potential source of further information does not mean that the author or the publisher endorses the information the organization or Website may provide or recommendations it may make. Further, readers should be aware that Internet Websites listed in this work may have changed or disappeared between when this work was written and when it is read. No warranty may be created or extended by any promotional statements for this work. Neither the publisher nor the author shall be liable for any damages arising herefrom.

5 _1_pre.qxd 24/01/ :19 PM Page v Contents List of contributors, vi 1 Overview, 1 Peter B. Cotton 2 Design and management of gastrointestinal endoscopy units, 3 Bret T. Petersen and Beverly Ott 3 Sedation, analgesia, and monitoring for endoscopy, 33 John J. Vargo 4 Endoscopic equipment, 43 Gregory G. Ginsberg 5 Digital documentation in endoscopy, 77 Lars Aabakken 6 Principles of electrosurgery, laser, and argon plasma coagulation with particular regard to endoscopy, 101 Guenter Farin and Karl E.Grund 7 Infection control in endoscopy, 130 Alistair Cowen and Dianne Jones 8 Risks, prevention, and management, 173 Peter B. Cotton 9 Pathology, 190 David N. Lewin 10 Pediatric gastrointestinal endoscopy, 254 Jonathan S. Evans and Lori Mahajan 11 Training and credentialing in gastrointestinal endoscopy, 289 Jonathan Cohen 12 Towards excellence and accountability, 363 Peter B. Cotton and Roland Valori Index, 371 v

6 _1_pre.qxd 22/01/ :32 AM Page vi List of contributors AABAKKEN, LARS Department of Medicine, Rikshospitalet, N-0027 Oslo, Norway COHEN, JONATHAN 524 East 72nd Street, Apt 30DE, New York, NY 10021, USA COTTON, PETER B. Medical University of South Carolina, PO Box , Ste 210 CSB, 96 Jonathan Lucas Street, Charleston, SC 29425, USA COWEN, ALISTAIR Emeritus Consultant Gastroenterologist, Royal Brisbane Hospital, Brisbane, Australia EVANS, JONATHAN S. Nemours Childrens Clinic, Division of Pediatric GI & Nutrition, 807Nira Street, Jacksonville, FL 32207, USA FARIN, GUENTER Kapellenweg 9, D Tuebingen, Germany GINSBERG, GREGORY G. Gastroenterology Division, Hospital of the University of Pennsylvania, 3 Ravdin Building, 3400 Spruce Street, Philadelphia, PA 19104, USA GRUND, KARL E. Professor of Surgery, Department of Surgical Endoscopy, Center for Medical Research, Eberhard-Karls University, University Hospital Tuebingen, Germany JONES, DIANNE Logan Hospital, Queensland, Australia LEWIN, DAVID N. Associate Professor of Pathology, Medical University of South Carolina, Pathology and Laboratory Medicine Services, Charleston, SC 29425, USA MAHAJAN, LORI Fellowship Director, Department of Pediatric. Gastroenterology and Nutrition, Cleveland Clinic Children s Hospital, Cleveland, Ohio, USA OTT, BEVERLY Endoscopy Systems Coordinator, Mayo Clinic, Rochester, MN 55905, USA PETERSEN, BRET T. Mayo Clinic, Division of GI/Hepatology, 200 First Street SW, West 19-A, Rochester, MN 55905, USA VALORI, ROLAND National Clinical Lead for Endoscopy in England, Gloucestershire Royal Hospital, Gloucester, UK VARGO, JOHN J. Cleveland Clinic Foundation, Department of GI, Desk S40, 9500 Euclid Avenue, Cleveland, OH 44195, USA vi