By Francesco Paolo Rossini M.D. (auth.)

by Mario Banche, M.D. IX The neologism "coloscopy" (colonscopy, colonoscopy) is the newest addition to the vocabulary of endoscopy of the big gut. simply because the time period "duodenoscopy" used to be in endoscopy of the higher digestive tract many years in the past. With the appearance of the coloscope it truly is now attainable to check the big bowel extra largely and successfully than was once previously attainable with using its inflexible forerunner, the rectosigmoidoscope. The earliest rectoscopes, eleven endoscopes" brought in the course of the nineteenth century through Segales and Desormeaux (1826, 1853), have been conceived for lots of uses-inspection of the urethra, bladder, uterus, rectum. Successive advancements ultimately ended in the development of an software designed completely for endoscopy of the rectum and sigmoid colon (Bensaude, 1907). Over the next years the rectoscope underwent no big switch and therefore an considerable and homogeneous literature gathered during which the to be had tools and their use have been defined whereas the endoscopic pathologic nosography and corresponding endoscopic images of the rectum and sigmoid colon have been codified, illustrated first via easy sketches and later by means of nonetheless and movement images. The literature includes many fantastic guides, a few in monograph form.

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Extra resources for Atlas of coloscopy

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Ileum.

27) to reach the sigmoid-descending colon junction where the tip becomes impacted (Fig. 28). The tip of the coloscope is then flexed to face the descending colon and the instrument is withdrawn and slightly rotated clockwise until it gains the descending colon (Fig. 29). The sigmoid colon is straightened out (Fig. 30) and the tip of the coloscope can then be easily pushed through the left flexure of the colon (fig. 31). The tip of the coloscope may become impacted at the sigmoid-descending colon junction and all attempts to steer in into the descending colon will then be of no avail (Fig.

70. Parietal and intramural diverticulum. Part of the diverticular sac extends into the bowel wall. 44 Coloscopic form Gastrointestinal endoscopy Coloscopy n. --~----------------------------------Diathermy snare type Polyp retrieved by: Control after polypectomy Complications Notes Diagnosis forceps or basket 0 suction 0 natural route 0 lost 0 45 c: I:: 0_ 8J~ "Ct: Oc. - 0 Cl'" OO=: 1 ) faeces 2) blood 3) mucus 1 2 3 c: 0_c: 00 CJ;e "Co '0 a. Q "'0 u " U 1 2 4 4 4 1 2 1 2 1 2 1 2 1 2 1 2 3 4 4 4 4 4 Progression of the fibrescope 1 2 1 2 1 2 1 2 1 2 3 1 2 3 3 3 Bowel walls 1) distensible 1 1 2 1 2 1 2 1 2 1 2 1 2 4 4 Mucosa (colour) 2) stiff 1) pink 2) bright red Blood vessels Erosions Pseudopolyps Size 1 2 4 4 1 2 4) granular 5) oedematous 6) brittle 7) cobblestone 4 5 1) normal 2) high 3) pseudopolypoid 4) low 5) absent 1 2 3 1 2 1 2 3 4 1 2 3 3 3 6 6 6 1 2 7 3 4 5 7 4 5 2 1 2 3 4 1 2 3 1 2 3 4 1 2 4 1 2 1 2 3 1 2 1 2 1 '2 7 7 6 6 7 1 2 1 2 1 2 1 2 1 2 7 1 2 1 2 6 6 4 5 4 5 3 3 4 5 4 5 3 3 4 5 4 5 3 3 4 5 4 5 3 3 4 5 1) enhanced vascular networks 1 2 2) vascular networks 3) dilated veins 3 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 3 3 3 3 3 1 3 3 3 3 3 2 1 2 3 3 3 3 1 ) linear 2) serpiginous 3) punched-out 4) furrow-like 5) aphtha-like 6) mUltiple, bleeding 7) deep 8) shallow 1 2 1 1 2 1 2 1 2 1 2 1 2 1 2 1 2 4 5 4 5 1) multiple 2) diffuse 2 3 3 6 7 8 6 4 5 1 2 3) brittle 3 4 1 ) single 2) multiple 3) diffuse 1 2 4 5 7 3 3 6 6 7 8 4 5 7 8 8 1 2 1 2 3 1 2 6 6 6 8 8 1 2 1 2 1 2 4 4 4 4 1 2 1 2 1 2 1 2 6 7 8 3 7 4 5 7 7 8 1 2 4 5 6 7 8 1 2 4 4 4 4 1 2 1 2 3 1 2 3 1 2 3 3 ,3 3 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 4 4 1 ) sessile 2) pedunculated 1) smooth 3 3 1 2 1 2 1 2 1 2 4 5 4 5 3 4 3 4 3 4 4 1 2 1 1 2 1 2 3 3 4 5 3 1 2 1 ) 0-5 mm.

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