{"title":"Flexible endoscopy: lower gastrointestinal tract","authors":"J. Simpson","doi":"10.22233/9781905319572.5","DOIUrl":"https://doi.org/10.22233/9781905319572.5","url":null,"abstract":"The lower gastrointestinal (GI) tract of the dog and cat is much simpler in its anatomical structure compared with many other species, comprising a simple tube which is divided into the caecum, colon, rectum and anus. As a result of this simple structure and the accessibility of the lower bowel, it is particularly well suited to examination by flexible endoscopy, which is fortunate because disease of the colon is very commonly seen in small animal practice. Previously, radiographs, barium studies and possibly laparotomy to obtain biopsy samples were required, which was time-consuming and expensive. Endoscopy provides a simple and readily available method examining the entire mucosal surface of the lower bowel and permitting collection of biopsy samples to ensure a definitive diagnosis is obtained, which has revolutionized the diagnosis of lower bowel disorders in most patients. This chapter looks into Indications; Instrumentation; Patient preparation; Premedication and procedure; Patient and positioning; Procedure; and Pathological conditions.","PeriodicalId":126990,"journal":{"name":"BSAVA Manual of Canine and Feline Endoscopy and Endosurgery","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114194678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rigid endoscopy: otoendoscopy","authors":"L. Ordeix, F. Scarampella","doi":"10.22233/9781905319572.9","DOIUrl":"https://doi.org/10.22233/9781905319572.9","url":null,"abstract":"Ear disease is one of the most commonest conditions affecting dogs and cats. Otitis externa (OE) is one of the most common and challenging ear diseases encountered, particularly in the dog. In dogs chronic inflammation of the ear canal is frequently associated with an extension of inflammation to deeper structures of the ear, resulting in otitis media (OM) or, less commonly, otitis interna (OI). Feline OE is less prevalent and rarely progresses to OM. More commonly, feline OM is the consequence of aetiological factors that directly affect the middle ear (e.g. inflammatory polyps, neoplasia, infection from the upper respiratory tract). The first diagnostic procedure that must be performed on a patient with suspected ear disease is an otoscopic examination. This chapter examines Indications; Instrumentation; Patient preparation; Preoperative diagnostic work-up; Procedure; Normal findings; Pathological conditions; Postoperative care; and Complications.","PeriodicalId":126990,"journal":{"name":"BSAVA Manual of Canine and Feline Endoscopy and Endosurgery","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130230926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Flexible endoscopy: respiratory tract","authors":"D. Levitan, S. Kimmel","doi":"10.22233/9781905319572.6","DOIUrl":"https://doi.org/10.22233/9781905319572.6","url":null,"abstract":"Flexible endoscopy of the respiratory tract can be a valuable therapeutic, diagnostic and prognostic tool for most patients with respiratory disease. Endoscopy can be used for diagnostic evaluation of the airways, including the nasal passages, nasopharynx, dorsal soft palate, pharynx, larynx, trachea and pulmonary tree, and to assess laryngeal function. Collection of tissue and fluid samples can be performed for microbiological or histopathological evaluation. The bronchoscope is also available as a valuable therapeutic tool and can be used to remove foreign objects from the pharynx, trachea and bronchi. It can also be used to place and evaluate airway stents. Visualization of airway injury or chronic airway changes can be monitored over time and will aid in determining the prognosis of conditions. Bronchoscopy is most rewarding when the veterinary surgeon has a good understanding of airway anatomy, use of equipment, anaesthetic protocols and techniques. This chapter covers Indications; Instrumentation; Premedication and anaesthesia; Patient positioning; Procedure; Pathological conditions; Foreign body removal; Postoperative care; and Complications.","PeriodicalId":126990,"journal":{"name":"BSAVA Manual of Canine and Feline Endoscopy and Endosurgery","volume":"178 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132901385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rigid endoscopy: urethrocystoscopy and vaginoscopy","authors":"A. H. Moore, G. England","doi":"10.22233/9781905319572.10","DOIUrl":"https://doi.org/10.22233/9781905319572.10","url":null,"abstract":"Examination of the lower urinary tract and reproductive tract is a core part of the diagnosis of various medical and surgical disorders of small animals. Historically, radiographic examinations were almost the sole way to investigate structural abnormalities, but more recently both ultrasonography and endoscopy have become essential additional modalities for diagnosis. Anatomical considerations limit the application of urethroscopy in male animals, especially the cat, but in females the entire urethra and the bladder are readily accessible to endoscopic evaluation. In the male, examination of the urethra may be possible in some dogs, using highly specialized equipment; the bladder of male dogs and cats is accessible via a transabdominal approach (laparoscopic or laparoscopically assisted cystoscopy). Interventional procedures in the lower urinary tract are still limited in application, but urolith removal and ablation, tissue biopsy, injection of bulking agents into the urethral wall, and palliation of urethral neoplasia have been reported. This chapter covers Anatomical considerations; Indications; Preoperative diagnostic work-up; Intraoperative diagnostic work-up (under general anaesthesia); Urethrocystoscopy; Transabdominal cystoscopy; Laparoscopic-assisted cystomy tube placement; Vaginoscopy in the bitch; Pathological conditions; Assessment of breeding time in the bitch; Cervical catheterization; Postoperative care; and Complications.","PeriodicalId":126990,"journal":{"name":"BSAVA Manual of Canine and Feline Endoscopy and Endosurgery","volume":"701 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116119514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rigid endoscopy: thoracoscopy","authors":"P. Mayhew","doi":"10.22233/9781910443620.13","DOIUrl":"https://doi.org/10.22233/9781910443620.13","url":null,"abstract":"Thoracoscopic surgery offers a minimally invasive approach for the treatment of a variety of thoracic disease processes. This chapter covers indications, instrumentation, patient preparation, anaesthetic considerations, access and port placement, surgical procedures, and complications. The chapter also contains five video clips.","PeriodicalId":126990,"journal":{"name":"BSAVA Manual of Canine and Feline Endoscopy and Endosurgery","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133297525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Flexible endoscopy: upper gastrointestinal tract","authors":"E. Hall","doi":"10.22233/9781905319572.4","DOIUrl":"https://doi.org/10.22233/9781905319572.4","url":null,"abstract":"Upper gastrointestinal (GI) endoscopy is one of the most common endoscopic procedures performed in companion animal practice, and encompasses examination of the oesophagus, stomach and proximal small intestine. It is possible to examine the oesophagus with a rigid endoscope (which may also be useful for foreign body removal) but a flexible endoscope is preferred for diagnostic investigation of the oesophagus, and is essential to be able to examine the stomach completely and to intubate the small intestine. And whilst early flexible endoscopes were only able to permit observation of the GI tract, modern gastroscopes can now also be used for sampling tissues and liquids and even for some therapeutic procedures. This chapters describes the Role of endoscopy in investigating GI disease; the Indications; the Contradictions; the Instrumentation; Patient preparation; Premedication and anaesthesia; Patient positioning; Procedure; Rigid oesophagoscopy; Normal findings; Pathological conditions; Foreign body removal; Oesophageal stricture; Percutaneous endoscopic gastrostomy tube placement; Jejunostomy tube placement; and Complications of upper GI endoscopy.","PeriodicalId":126990,"journal":{"name":"BSAVA Manual of Canine and Feline Endoscopy and Endosurgery","volume":"277 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114041230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Index","authors":"","doi":"10.22233/9781910443620.bm1","DOIUrl":"https://doi.org/10.22233/9781910443620.bm1","url":null,"abstract":"","PeriodicalId":126990,"journal":{"name":"BSAVA Manual of Canine and Feline Endoscopy and Endosurgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121097241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An introduction to laser endosurgery","authors":"David Sobel, J. Lulich","doi":"10.22233/9781905319572.14","DOIUrl":"https://doi.org/10.22233/9781905319572.14","url":null,"abstract":"The term 'laser' is actually an acronym, standing for Light Amplification by the Stimulated Emission of Radiation. The first workable experimental laser, a pulsed ruby laser, was developed in 1960 by Theodore Maiman. A basic knowledge of optical laser physics is useful in understanding the clinical applications of laser energy. This chapter provides a brief introduction to laser physics relevant to veterinary practice. The most commonly used laser in veterinary medicine is the carbon dioxide laser. These efficient, economical and highly effective lasers are excellent for general surgical use. However, the underlying physics of these lasers means that their use in endoscopic applications is limited. This chapter discusses Instrumentation; Mass resection; and Transurethral laser lithotripsy.","PeriodicalId":126990,"journal":{"name":"BSAVA Manual of Canine and Feline Endoscopy and Endosurgery","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126063460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An introduction to endoscopy and endosurgery","authors":"Philip Lhermette, D. Sobel","doi":"10.22233/9781905319572.1","DOIUrl":"https://doi.org/10.22233/9781905319572.1","url":null,"abstract":"The decision to incorporate minimally invasive surgery and diagnostics into a companion animal practice is a complicated one, taking into account practice demographics, economics, staffing, physical plant considerations, practitioner interests, and relative proximity to similar practices. The initial assessment of each patient presenting for an endoscopic or endosurgical procedure is based on the clinical history and general haemodynamic stability of the individual, as well as the stability for the specific procedure being considered. The limits of minimally invasive surgery are being continually expanded as technology advances. This chapter gives an introduction to the History of endoscopy; Incorporating endoscopy into veterinary practice; Patient assessment and stabilization; Flexible versus rigid endoscopy; and Future advances in endoscopic surgery.","PeriodicalId":126990,"journal":{"name":"BSAVA Manual of Canine and Feline Endoscopy and Endosurgery","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133803083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rigid endoscopy: laparoscopy","authors":"E. Monnet, Philip Lhermette, D. Sobel","doi":"10.22233/9781905319572.11","DOIUrl":"https://doi.org/10.22233/9781905319572.11","url":null,"abstract":"Exploratory laparotomy is a major invasive procedure, often carried out on a sick or debilitated patient. Clinicians may hesitate to put their patient through such a procedure, and may therefore rely on incomplete information from indirect observations such as blood tests and other imaging studies to form their diagnosis. Owners may also be reluctant to subject their pet to major surgery 'just to get a sample'. Laparoscopy is a minimally invasive surgical technique used in veterinary practice for diagnostic procedures and surgical treatment of a variety of conditions. It is a very safe technique if the basic rules are followed. Laparoscopy enables surgeons to carry out a thorough visual inspection of the abdominal cavity and obtain tissue samples quickly, with minimal trauma to the patient. This chapter explains Instrumentation; Anaesthetic considerations; Procedure; Biopsy; Feeding tube placement; Gastropexy; Ovariohysterectomy; Ovariectomy; Ovarian remnant removal; Cryptorchid surgery; Laparoscopic-assisted cystoscopy; Cholecystectomy; Other potential surgical procedures; and Complications.","PeriodicalId":126990,"journal":{"name":"BSAVA Manual of Canine and Feline Endoscopy and Endosurgery","volume":"603 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116281564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}