colonoscopy with polypectomy

Colonoscopy with polypectomy

(CWP)Patricio Ancheta & Alfredo DeGuzman

Presentation Outline

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

COLONOSCOPY

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

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

visual examination)

Colonoscopy is the visual examination of the colon using an endoscope

The Examiner: Colonoscopist

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.

Colonoscopy with polypectomy

Anatomy

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.

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

Before the procedure,the patient is informedabout CWP.

Colonoscopy Procedure

Undignified dignified

Procedure

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

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

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.

Perform Leak Test

Manual Cleaning & Rinsing

• Disassembled parts as far as practicable.

• Meticulously clean and brush, etc.

• Flush-rinse after this process.

Drying and LTS

• Drying following cleaning.

• Chemical Disinfection or Low Temperature Sterilisation

Storage

• Specialised cabinet• Packed aseptically

for quick dispatch.

Thank you. For Questions, Ask Alfredo?