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?