Practice of Panendoscopy S. Takasu 1 , A. Kitamura 1 1Department of Gastroenterology, Kanto-Teishin Hospital pp.47-54
Published Date 1984/1/25
DOI https://doi.org/10.11477/mf.1403106927
  • Abstract
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 With the implementation of a thin tube forwardviewing endoscope, panendoscopy has replaced conventional fluoroscopy for screening examination of the upper GI tract. The essentials in the use of panendoscope are discussed. Sufficient illumination and a markedly controllable tip are required. The examination is contraindicated only for those with aneurysm, recent attack of myocardial infarction, marked difficulty in spitting and for un-cooperative patients.

 How to introduce a fiberscope into the esophagus is illustrated in Fig. 2. The observation of the esophagus starts from the thoracic esophagus. A special consideration is necessary for the complete observation of the gastric body. The posterior wall is a difficult portion to study and how to solve it is shown in Fig. 3 to 5. For the examination of the duodenal bulb, delicate handling of the panendoscope back and forth by an assistant is useful.

 For the perfect panendoscopy, a sequence of observation shown in Fig. 6 followed and 40 photos of catch part were taken even though no pathologie is detected. Thus, the above studies have shown that biopsy is a part of panendoscopy and its indication for every ulcers, polyps and suspicious erosions is recommended.

Copyright © 1984, Igaku-Shoin Ltd. All rights reserved.


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