Abstract
Endoscopy is a critical skill set for deployment of surgical teams at sea on certain platforms. There are multiple emergent indications for endoscopy, most commonly esophageal food impactions and gastrointestinal bleeding; however, as a diagnostic modality endoscopy is also critical to rapidly triage and evaluate the deployed patient to maintain mission readiness. Additionally, endoscopy can be utilized as an adjunct during various surgical procedures. Familiarity with the endoscopic equipment and pathologies diagnosed and managed endoscopically are important for the deployed surgical team. This chapter reviews the endoscopic equipment including basic setup, risks of endoscopy, fundamentals of endoscopic technique, troubleshooting steps during the difficult procedure, and presentation, diagnosis, and endoscopic and medical management of the most commonly encountered gastrointestinal (GI) pathologies at sea.
Original language | English |
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Title of host publication | Expeditionary Surgery at Sea |
Subtitle of host publication | A Practical Approach |
Publisher | Springer International Publishing |
Pages | 315-367 |
Number of pages | 53 |
ISBN (Electronic) | 9783031218934 |
ISBN (Print) | 9783031218927 |
DOIs | |
State | Published - 1 Jan 2023 |
Externally published | Yes |
Keywords
- Colonoscopy
- Common endoscopic findings
- Duodenum
- EGD
- Endoscopic management of common diseases
- Endoscopy equipment
- Endoscopy technique
- Esophagogastroduodenoscopy
- Foregut obstructions
- Gastrointestinal endoscopy
- Gastrointestinal hemorrhage
- Inflammatory bowel diseases
- Maritime surgery
- Surgery at sea