Therapeutic endoscopy
Therapeutic endoscopy is a medical procedure that involves the use of an endoscope to diagnose and treat diseases. The endoscope is a long, flexible tube that is inserted into the body to visualize the internal organs. Therapeutic endoscopy can be used to treat a variety of conditions, including gastrointestinal bleeding, gastroesophageal reflux disease (GERD), and cancer.
History
The first therapeutic endoscopy was performed in the late 19th century. Since then, the procedure has evolved significantly, with the development of new techniques and technologies that have improved its safety and effectiveness.
Procedure
During a therapeutic endoscopy, the patient is usually sedated. The endoscope is then inserted into the body, typically through the mouth or anus. The endoscope is equipped with a light and a camera, which allows the doctor to see the internal organs on a monitor. The endoscope can also be used to perform various treatments, such as removing polyps, stopping bleeding, or taking tissue samples for biopsy.
Types of Therapeutic Endoscopy
There are several types of therapeutic endoscopy, including:
- Esophagogastroduodenoscopy (EGD): This procedure is used to examine the esophagus, stomach, and upper part of the small intestine.
- Colonoscopy: This procedure is used to examine the colon and rectum.
- Endoscopic retrograde cholangiopancreatography (ERCP): This procedure is used to examine the bile ducts, gallbladder, and pancreatic duct.
- Endoscopic ultrasound (EUS): This procedure is used to examine the upper and lower gastrointestinal tract, as well as other organs nearby.
Risks and Complications
Like any medical procedure, therapeutic endoscopy carries some risks. These may include bleeding, infection, and perforation of the organ being examined. However, these complications are rare and the procedure is generally considered safe.
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Contributors: Prab R. Tumpati, MD